MR. John Wayne Rister, IDMT
NPI #1114161999 in Lackland a F B, Texas
Provider Information
- NPI Number
- 1114161999
- Entity Type
- Individual
- Name
- MR. John Wayne Rister, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 24, 2009
- Last Updated
- Mar 7, 2011
Practice Location
- Address
- 1220 TRUEMPER ST
- Address 2
- BLDG 9225, SUITE 1, ROOM 323
- City
- Lackland a F B
- State
- Texas
- ZIP Code
- 78236-5568
- Phone
- (210) 671-8317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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