Stacy Fuller Baecker, PA-C
NPI #1043543473 in San Diego, California
Provider Information
- NPI Number
- 1043543473
- Entity Type
- Individual
- Name
- Stacy Fuller Baecker, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Sep 17, 2009
- Last Updated
- Feb 3, 2023
Practice Location
- Address
- 200 W ARBOR DR
- City
- San Diego
- State
- California
- ZIP Code
- 92103-9000
- Phone
- (619) 543-6886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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