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Redentor Bacani, PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1487725693

Redentor Bacani is a Medical Physician Assistant based in Las Vegas, NV and is specialized in Medical. Redentor Bacani practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Redentor Bacani is 1487725693 and holds a License No. 814 (Nevada).

The current practice location address for Redentor Bacani is 4475 S Eastern Ave, Las Vegas, NV and can be reached out via phone at 702-737-1880 and via fax at 702-650-5729. You can also correspond with Redentor Bacani through the mailing address at PO BOX 15645, LAS VEGAS, NV - 89114-5645 (mailing address contact number: 702-560-2900).

Location: 4475 S Eastern Ave, Las Vegas, NV, 89114-5645
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Provider Profile Details
NPI Number
1487725693
Provider Name
Redentor Bacani
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4475 S Eastern Ave, Las Vegas, NV, 89114-5645
Phone Number
702-737-1880
Fax Number
702-650-5729
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01257618 01 NV RAILROAD MEDICARE
1487725693 05 NV
institution
Provider Business Practice Location Address Details
Address
4475 S Eastern Ave
City
State
Zip
89119-7826
Phone Number
702-737-1880
Fax Number
702-650-5729
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Provider Business Mailing Address Details
Address
4475 S Eastern Ave
City
State
Zip
89119-7826
Phone Number
702-737-1880
Fax Number
702-650-5729
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
814 (Nevada)
Definition
Definition to come...
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