Individual provider · Type 1 NPI

Carley Jean Bacon, PA-C

Surgical Physician Assistant · Cambridge, MN

NPI number 1316417157 Active

Practice location

701 Dellwood St S
Cambridge, MN 55008-1920

Call (763) 689-8700 Map

Fax (763) 688-7941

Mailing address

PO Box 43
Minneapolis, MN 55440-0043

Other practice locations

  • 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 · (214) 369-5432

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA12540 (TX)

Surgical Physician Assistant: Definition to come...

179 other providers at this address

About NPI 1316417157

Carley Jean Bacon, PA-C's National Provider Identifier is 1316417157, issued on Dec 4, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cambridge, MN. The record was last updated on Jan 4, 2024.