JUSTIN ALAN BACON

RAEFORD, NC
NPI1205221926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  2018-02158)
Enumeration Date2015-03-31
Last Update Date2019-08-14
Business Address
Dr. JUSTIN ALAN BACON DO
210 MEDICAL PAVILION DR
RAEFORD, NC 28376-9111
Phone number: 910-904-8000
Mailing Address
Dr. JUSTIN ALAN BACON DO
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431-1000
Phone number: 253-968-2997
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