Individual
DERRICK MONROE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7032
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7032
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
0800998
AL
146L00000X
Paramedic
Primary
P8009774
AL
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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