NPI 1568718955

Daniel Joseph Grondin, NREMTB

Practitioner Basic Emergency Medical Technician Ft Rucker, AL

Practice location

Address: Lyster Army Health Clinc Bldg 301 Andrews Ave, Ft Rucker, AL 36362-5333
Phone: (334) 255-7341
Fax: (334) 255-7368

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1623297 (AL)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1568718955
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2012
Record last updated: 3 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.