Individual
RYAN MARK ASCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT-M
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7341
Mailing address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7341
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M5046147
AL
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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