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Individual

AMANDA J BACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6360
(319) 353-7006
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6360
(319) 353-7006

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
129395
IA

Other

Enumeration date
09/25/2024
Last updated
03/17/2025
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