Individual
JAMES EPHLAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7431
Mailing address
BLDG 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7431
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
B1820184
AL
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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