Individual
RYAN MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG #301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7185
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG #301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7185
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1939662
AL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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