Individual
MARLON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TECHNICIAN
Contact information
Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7856
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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