Organization
KIDDIES PAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAL MINUSKIN MD (OWNER/CEO)
(702) 823-1333
Entity
Organization
Contact information
Practice address
851 S RAMPART BLVD STE 130, LAS VEGAS, NV 89145-4884
(702) 823-1333
(702) 823-1190
Mailing address
851 S RAMPART BLVD STE 130, LAS VEGAS, NV 89145-4884
(702) 823-1333
(702) 823-1190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100537177
—
NV
Enumeration date
08/21/2017
Last updated
07/21/2022
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