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1225053903
MERRILL PHILIP BACON
VENTURA, CA
NPI
1225053903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: CA C31585)
Enumeration Date
2006-07-13
Last Update Date
2007-11-08
Business Address
Dr. MERRILL PHILIP BACON M.D.
3400 LOMA VISTA RD STE. 9
VENTURA, CA 93003-3033
Phone number: 805-644-4477
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Mailing Address
Dr. MERRILL PHILIP BACON M.D.
11999 SAN VICENTE BLVD STE. 440
LOS ANGELES, CA 90049-5131
Phone number: 310-440-3131
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