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Nicholas Bacciocco
NPI 1104235720 · on the registry since 2014
Practice
- Address
- 1850 Bitterroot Dr
Twin Falls, ID 83301 - Phone
- (801) 674-5752
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho