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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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