Organization
LYSTER ARMY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVON HILL SHAW (CNA)
(334) 255-7118
Entity
Organization
Contact information
Practice address
DEPT OF PRIMARY CARE&COMMUNITY MED, FORT RUCKER, AL 36362
(334) 255-7118
(334) 255-7090
Mailing address
DEPT OF THE ARMY DEPT OF PRIMARY CARE&COMMUNITY MED., BLDG 301, FORT RUCKER, AL 36362
(334) 255-7118
(334) 255-7090
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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