Individual
TIMOTHY JOVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NERMT-I
Contact information
Practice address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(931) 538-5272
(334) 255-7368
Mailing address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(931) 538-5272
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
I0712646
KY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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