Individual provider · Type 1 NPI

Stephanie M. Bacon, PA

Medical Physician Assistant · Littleton, CO

NPI number 1861629404 Active

Practice location

191 E Orchard Rd, #102 NE
Littleton, CO 80121-8000

Call (303) 730-1313 Map

Fax (303) 730-2090

Mailing address

191 E. Orchard Ave, #102 NE
Littleton, CO 80121

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X719 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1861629404

Stephanie M. Bacon, PA's National Provider Identifier is 1861629404, issued on Jun 22, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Littleton, CO. The record was last updated on Jun 22, 2009.