Matthew Lester Davenport, NREMT
NPI #1053831156 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1053831156
- Entity Type
- Individual
- Name
- Matthew Lester Davenport, NREMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- NREMT
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- BLDG 301 ANDREWS AVE
- Address 2
- LYSTER ARMY HEALTH CLINIC
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36362-5333
- Phone
- (335) 255-6919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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