Individual
BENJAMIN R TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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