WILLIAM T BACON

SANTA FE, NM
NPI1730181942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  2001-PA36)
Enumeration Date2005-06-01
Last Update Date2022-09-01
Business Address
WILLIAM T BACON PA-C
1650 HOSPITAL DR STE 800
SANTA FE, NM 87505-4789
Phone number: 505-395-3000
Mailing Address
WILLIAM T BACON PA-C
1650 HOSPITAL DR STE 800
SANTA FE, NM 87505-4789
Phone number: 505-395-3000