Individual
JUSTIN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-E
Contact information
Practice address
BLDG 301, ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7363
(334) 255-7368
Mailing address
BLDG 301, ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7363
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1963016
TX
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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