person
Carley Jean Bacon, PA-C
Surgical Physician Assistant in Cambridge, Minnesota
NPI 1316417157

Carley Jean Bacon is a Surgical Physician Assistant based in Minneapolis, MN and is specialized in Surgical. Carley Jean Bacon practices in Cambridge, MN and has the professional credentials of PA-C. The NPI Number for Carley Jean Bacon is 1316417157 and holds a License No. PA12540 (Minnesota).

The current practice location address for Carley Jean Bacon is 701 Dellwood St S, Cambridge, MN and can be reached out via phone at 763-689-8700 and via fax at 763-688-7941.

Location: 701 Dellwood St S, Cambridge, MN, 55440-0043
person
Provider Profile Details
NPI Number
1316417157
Provider Name
Carley Jean Bacon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
701 Dellwood St S, Cambridge, MN, 55440-0043
Phone Number
763-689-8700
Fax Number
763-688-7941
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Dellwood St S
City
State
Zip
55008-1920
Phone Number
763-689-8700
Fax Number
763-688-7941
person
Provider Business Mailing Address Details
Address
701 Dellwood St S
City
State
Zip
55008-1920
Phone Number
763-689-8700
Fax Number
763-688-7941
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA12540 (Texas)
Definition
Definition to come...
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