person
Mrs. Jessica Suzanne Bacikalo, PA-C
Medical Physician Assistant in Salt Lake City, Utah
NPI 1700033024

Jessica Suzanne Bacikalo is a Medical Physician Assistant based in Salt Lake City, UT and is specialized in Medical. Jessica Suzanne Bacikalo practices in Salt Lake City, UT and has the professional credentials of PA-C. The NPI Number for Jessica Suzanne Bacikalo is 1700033024 and holds a License No. 177611-1205 (Utah).

The current practice location address for Jessica Suzanne Bacikalo is 500 Foothill Dr, Salt Lake City, UT and can be reached out via phone at 801-582-1565 and via fax at 801-584-5647.

Location: 500 Foothill Dr, Salt Lake City, UT, 84148-0001
person
Provider Profile Details
NPI Number
1700033024
Provider Name
Jessica Suzanne Bacikalo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
500 Foothill Dr, Salt Lake City, UT, 84148-0001
Phone Number
801-582-1565
Fax Number
801-584-5647
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Foothill Dr
City
State
Zip
84148-0001
Phone Number
801-582-1565
Fax Number
801-584-5647
person
Provider Business Mailing Address Details
Address
500 Foothill Dr
City
State
Zip
84148-0001
Phone Number
801-582-1565
Fax Number
801-584-5647
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
177611-1205 (Utah)
Definition
Definition to come...
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