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Organization

RYAN M LEY MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN MICHAEL LEY (OWNER)
(619) 268-1274
Entity
Organization

Contact information

Practice address
713 BALZAR CIR, RENO, NV 89502-2616
(619) 268-1274
Mailing address
PO BOX 8038, RENO, NV 89507-8038
(775) 225-3606

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073637203
NPI
01
12750
NEVADA LICENSE NUMBER
NV
Enumeration date
06/05/2018
Last updated
04/23/2026
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