Individual
IAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSA
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7376
Mailing address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7376
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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