Individual
PATRICIA GRACE TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MA
Contact information
Practice address
5575 KIETZKE LN, RENO, NV 89511-2290
(775) 851-1505
(775) 851-1583
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(775) 851-1505
(775) 851-1583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2970
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250015250
—
NV
01
—
V69885
PTAN
NV
Enumeration date
06/18/2018
Last updated
10/06/2021
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