Individual
MR. TRACY MED BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
BLDG. 301 ANDREW'S AVE, LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(334) 255-2456
Mailing address
BUILDING 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-0456
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
0500201
AL
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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