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DR. JOHN A BACIOCCO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1124005731

Individual Registrant:
DR. JOHN A BACIOCCO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
222 TONGASS DR  SITKA, AK 99835-9416 US
Tel: 907-966-2411  Fax: 907-966-8606

Contact information for business:
222 TONGASS DR  SITKA, AK 99835-9416 US
Tel: 907-966-2411  Fax: 907-966-8606

Registration Information:
NPI: 1124005731
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AK3695

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MD3695AK05




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