Provider / Organization | NPI | Date Certified |
---|---|---|
BRENDAN CARTY | 1356934038 | 2021-02-14 |
Brendan Carty is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356934038. Registration indicates Brendan Carty is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Brendan Carty DO |
Practice Office Address | 9040 JACKSON AVE TACOMA, WA US |
Practice Office Telephone | 2539683066 |
Mailing Address | 9040 JACKSON AVE TACOMA, WA 984310001 US |
Business Telephone | 2539683066 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |