Individual
MIRIAM BAR-ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3006 S MARYLAND PKWY STE 315, LAS VEGAS, NV 89109-6205
(702) 992-6868
(702) 992-6860
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12118
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118
MEDICAL LICENSE
NV
01
—
35.051373
MEDICAL LICENSE
IL
Enumeration date
02/14/2006
Last updated
03/18/2020
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