DEREK BACCO

DANVILLE, PA
NPI1548755614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
DEREK BACCO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6211
Mailing Address
DEREK BACCO
14519 OTIS DR
NORTH HUNTINGDON, PA 15642-1011
Phone number: 412-592-4494