Individual
DR. JOHN J VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7408
Mailing address
DEPARTMENT OF AVIATION MEDICINE, 301 ANDREWS AVE, FORT NOVOSEL, AL 36330
(334) 255-7408
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
02003427A
IN
2083X0100X
Occupational Medicine Physician
02003427A
IN
Other
Enumeration date
01/11/2007
Last updated
12/07/2023
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