NPI 1558873828

Gary T Dirisio, PHARMD

Practitioner Clinical Pharmacology Physician Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-3578

Registered specialties (2)

Clinical Pharmacology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence 39645 (CA)

Other Clinical Pharmacology providers in Nevada →

Clinical Pharmacology Physician

Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence 09138 (NV)

Registry record

NPI: 1558873828
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2017
Record last updated: 17 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.