GAVAN ERWIN

FORT RUCKER, AL
NPI1346620515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146L00000X Emergency Medical Technician, Paramedic
(Licence: AL  P0843282)
Additional Taxonomies146L00000X Emergency Medical Technician, Paramedic
(Licence: AL  9142213)
146L00000X Emergency Medical Technician, Paramedic
(Licence: FL  PMD 504315)
Enumeration Date2015-06-03
Last Update Date2015-06-03
Business Address
-- GAVAN ERWIN nremt-p
BLDG 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7799
Mailing Address
-- GAVAN ERWIN nremt-p
BLDG 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7799