Individual
MR. CAREY M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8201 GOLF COURSE RD NW STE A3, ALBUQUERQUE, NM 87120-5803
(505) 800-7070
Mailing address
2145 E BASELINE RD, TEMPE, AZ 85283-1515
(888) 286-3606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3707
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487814
—
AZ
Enumeration date
09/25/2007
Last updated
04/18/2024
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