Individual
IRA PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3536
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3536
STATE LICENSE
NV
Enumeration date
10/26/2006
Last updated
07/08/2007
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