Most Relevant Information
Provider Data
| NPI Number: | 1003040973 |
| Provider Name: | BRENDAN TUCKER CASEY DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 2174 |
Most Important Dates
| Enumeration Date: | 05/07/2009 |
| Last Updated: | 03/23/2024 |
Provider Practice Location
501 FRANKLIN AVE
SANTA FE
NM
875013617
Practice Location Phone/Fax
| Phone: | 5056901873 |
| Fax: |
Provider Mailing Location
501 FRANKLIN AVE
SANTA FE
NM
87501
Provider Mailing Phone/Fax
| Phone: | 5056901873 |
| Fax: |