AUSTIN MATIAS BACONG

SCOTTSDALE, AZ
NPI1063067965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  7519)
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
Mr. AUSTIN MATIAS BACONG PA-C
9827 N 95TH ST STE 105
SCOTTSDALE, AZ 85258-4591
Phone number: 480-860-8488
Mailing Address
Mr. AUSTIN MATIAS BACONG PA-C
9827 N 95TH ST STE 105
SCOTTSDALE, AZ 85258-4591
Phone number: 480-860-8488