Search › Maryland › 363AS0400X
Brent Tucker, PA-C
NPI 1396297248 · on the registry since 2016
Practice
- Address
- 3414 Olandwood Ct
Olney, MD 20832 - Phone
- (301) 774-0500
- Fax
- (301) 774-7338
- Organisation at this address
- The Training Room Inc
Potomac Valley Sports Medicine
Centers For Advanced Orthopaedics, Llc
Centers For Advanced Orthopaedics, Llc
Potomac Valley Orthopedic Assoc, CharteredInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 10710 Charter Dr Ste 300, Columbia, MD
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland