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Derek Bacco
Medical Physician Assistant in Danville, Pennsylvania
NPI 1548755614

Derek Bacco is a Medical Physician Assistant based in North Huntingdon, PA and is specialized in Medical. Derek Bacco practices in Danville, PA. The NPI Number for Derek Bacco is 1548755614 and holds a License No. (Pennsylvania).

The current practice location address for Derek Bacco is 100 N Academy Ave, Danville, PA and can be reached out via phone at 570-271-6211.

Location: 100 N Academy Ave, Danville, PA, 15642-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548755614
Provider Name
Derek Bacco
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 N Academy Ave, Danville, PA, 15642-1011
Phone Number
570-271-6211
Fax Number
Provider Enumeration Date
06/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-9800
Phone Number
570-271-6211
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-9800
Phone Number
570-271-6211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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