Individual
ERIC MARSHALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT TECH
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7368
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1948957
TX
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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