Individual
BRIAN W FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1620 CORNELL DR SE, ALBUQUERQUE, NM 87106-3306
(505) 243-7458
(505) 248-1098
Mailing address
1620 CORNELL DR SE, ALBUQUERQUE, NM 87106-3306
(505) 243-7458
(505) 248-1098
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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