Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY T DIRISIO, PHARM D
Active Sole ProprietorGARY T DIRISIO, PHARM D is a Clinical Pharmacology healthcare provider located in NELLIS AFB, Nevada. NPI 1558873828 is currently active in the NPPES registry. Verify at CMS.
Clinical Pharmacology · NELLIS AFB, NV
Registration Details
- NPI Number
- 1558873828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2017 (8.7883489502601 yrs)
- Last Updated
- Sep 17, 2020
- Licenses
-
09138 (NV)39645 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 LAS VEGAS BLVD NNELLIS AFB, NV, 891916600Browse NV providers · Browse ZIP 89191
- Phone
- 7026533578
- Primary Specialty
-
Clinical Pharmacology
208U00000X
- Additional Specialty
- Clinical Pharmacology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.