SearchNevada104100000X

Brandon Baccus

NPI 1730591140 · on the registry since 2014 · sole proprietor

Practice

Address
5860 S Pecos Rd Ste 300
Las Vegas, NV 89120
Phone
(702) 538-9474
Clinicians at this address
13

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada