Doctor Name: | MR. TRACY MED BROWN |
NPI Number: | 1770724312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EMT-P |
License Number: | 0500201 |
Business Practice Address: | Bldg. 301 Andrew's Ave Lyster Army Health Clinic Ft. Rucker, AL - 363625333 |
Business Phone Number: | 3342552456 |
Business Fax Number: | |
Mailing Address: | Building 301 Andrews Ave, Lyster Army Health Clinic FORT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342550456 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | 0500201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |