Individual
MR. JAKE BENDICION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6190 S FORT APACHE RD, LAS VEGAS, NV 89148-6702
(702) 485-5885
(888) 593-7092
Mailing address
6190 S FORT APACHE RD, LAS VEGAS, NV 89148-6702
(702) 485-5885
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA0595
NV
Other
Enumeration date
07/07/2021
Last updated
04/03/2026
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