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Individual
BRIAN J. DALY
Active
Individual
BRIAN J. DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
530
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035139
NCCPA CERTIFICATION
NV
01
—
530
PHYSICIAN ASSISTANT LIC
NV
05
—
PENDING
—
NV
Enumeration date
11/10/2006
Last updated
07/08/2007
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