Provider Demographics
NPI:1780707711
Name:NAY, RICHARD BILL (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:BILL
Last Name:NAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:UT
Mailing Address - Zip Code:84634-0429
Mailing Address - Country:US
Mailing Address - Phone:435-528-7231
Mailing Address - Fax:435-528-7232
Practice Address - Street 1:49 EAST CENTER STREET
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:UT
Practice Address - Zip Code:84634-0429
Practice Address - Country:US
Practice Address - Phone:435-528-7231
Practice Address - Fax:435-528-7232
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT171468-1205207L00000X, 207Q00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD07580Medicare UPIN
UT000002813Medicare ID - Type Unspecified