IndividualActive
Micheal Benamon
NPI 1972749554 · Independent Duty Medical Technicians · Fort Rucker, AL
Provider details
- NPI number
- 1972749554
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Phone: (334) 255-7169
Fax: (334) 255-7173
Mailing address
301 Andrews Avenue
Fort Rucker, AL 36362-5333
Registry dates
- Enumerated
- 2009-01-02
- Last updated
- 2009-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.