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Organization

BACCHUS PC

Active
Find providers by NPI
Organization

BACCHUS PC

Active
Other names
P3 Health Partners Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY DENDARY (CREDENTIALING MANAGER)
(702) 910-3950
Entity
Organization

Contact information

Practice address
880 SEVEN HILLS DR STE 140, HENDERSON, NV 89052-4372
(702) 844-4840
(702) 844-4843
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
(702) 786-6650

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
02/01/2018
Last updated
04/01/2026
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