Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK BACCO
ActiveDEREK BACCO is a Medical Physician Assistant healthcare provider located in DANVILLE, Pennsylvania. NPI 1548755614 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DANVILLE, PA
Registration Details
- NPI Number
- 1548755614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2018 (8.1674445975643 yrs)
- Last Updated
- Jun 29, 2018
Practice Information
- Address
-
100 N ACADEMY AVEDANVILLE, PA, 178229800Browse PA providers · Browse ZIP 17822
- Phone
- 5702716211
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in DANVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| DAVID J BLOOM | PA-C | 1760414940 |
| JACQUELYN R BORST | PA-C | 1710070131 |
| MR. KYLE CURTIS MAZA | P.A.-C. | 1649341793 |
| MR. THOMAS ANTHONY LYONS | PA-C | 1306905559 |
| MISS KELLY RAE LONDON | PA-C | 1255595708 |
| MICHELLE L HARTFORD | PAC | 1437308343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.