Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 40077 | IA |
NPI | 1013112986 |
---|---|
Provider Name | Dr. Benjamin E Tuy |
First Address | Fort Dodge, IA 50501-3905 |
Second Address | Fort Dodge, IA 50501-5742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 17/12/2021 |