Individual
RICKY DEAN ZHORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7185
(334) 255-7368
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7185
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1738564
AL
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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