Organization
BRALLIAR PSYCHIATRIC ASSOCIATES PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J BRALLIAR DO (OWNER)
(702) 406-6758
Entity
Organization
Contact information
Practice address
7930 W SAHARA AVE, LAS VEGAS, NV 89117-1990
(702) 876-9330
(702) 876-9061
Mailing address
7930 W SAHARA AVE, LAS VEGAS, NV 89117-1990
(702) 876-9330
(702) 876-9061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
815
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578520896
PERSONAL NPI
NV
Enumeration date
04/23/2008
Last updated
06/26/2024
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