Gary Dirisio, PHARM D

Individual Active
NPI 1558873828
Clinical Pharmacology Physician Nellis Afb, NV

NPI 1558873828 belongs to Gary Dirisio, PHARM D, a clinical pharmacology physician with a practice location in Nellis Afb, NV. The NPI was issued on October 26, 2017, and the record was last updated in NPPES on September 17, 2020. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Pharmacology Physician Primary 208U00000X 39645 (CA)
Clinical Pharmacology Physician 208U00000X 09138 (NV)

Practice location

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

Local context

Active NPPES records list 2 providers with clinical pharmacology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 3 in Nevada and 221 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Gary T Dirisio
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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