Individual provider · Type 1 NPI
Amanda J. Bacon
Medical Physician Assistant · Iowa City, IA
NPI number
1477370856
Active
Practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Fax (319) 353-7006
Other practice locations
- 400 E Polk St, Washington, IA 52353-1237 · (319) 353-6360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 129395 (IA) |
Medical Physician Assistant: Definition to come...
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About NPI 1477370856
Amanda J. Bacon's National Provider Identifier is 1477370856, issued on Sep 25, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Iowa City, IA. The record was last updated on Mar 17, 2025.