Individual provider · Type 1 NPI

Derek Bacco

Medical Physician Assistant · Danville, PA

NPI number 1548755614 Active

Practice location

100 N Academy Ave
Danville, PA 17822-9800

Call (570) 271-6211 Map

Mailing address

14519 Otis Dr
North Huntingdon, PA 15642-1011

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1548755614

Derek Bacco's National Provider Identifier is 1548755614, issued on Jun 29, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Danville, PA. The record was last updated on Jun 29, 2018.