Individual
DR. THOMAS-DUYTHUC TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E 2ND ST STE 400, RENO, NV 89502-1198
(775) 982-2400
(775) 982-2410
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15275
NV
207RC0000X
Cardiovascular Disease Physician
A107659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215129044
—
NV
01
—
12673720
CAQH
—
Enumeration date
08/15/2007
Last updated
12/22/2020
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