Search › Colorado › 363A00000X
Samantha Bacon, PA-C
NPI 1295259414 · on the registry since 2017
Practice
- Address
- 13123 E 16th Ave # B115
Aurora, CO 80045 - Phone
- (720) 777-6740
- Fax
- (720) 777-7225
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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 Colorado