MR. MARK BACON, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1972530053
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 602 (AK) |
Frequently Asked Questions
NPI 1972530053 is the National Provider Identifier for MR. MARK BACON, PA-C, a Physician Assistant - Medical provider located in Tinker Afb, OK. This NPI was enumerated on June 26, 2006.
MR. MARK BACON, PA-C practices at 72ND MEDICAL GROUP, 5700 ARNOLD ST, Tinker Afb, OK 73145.
Quick Facts
- NPI
- 1972530053
- Type
- Individual
- Enumerated
- Jun 26, 2006
- Last Updated
- Jul 8, 2007
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