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Individual

MR. DEREK JAMES ADAMS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NREMT

Contact information

Practice address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(931) 338-7965
Mailing address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(931) 338-7965

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1820386
TX

Other

Enumeration date
05/14/2013
Last updated
05/14/2013
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