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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK ROBERT BACON, PA-C

Active

MR. MARK ROBERT BACON, PA-C is a Medical Physician Assistant healthcare provider located in TINKER AFB, Oklahoma. NPI 1972530053 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · TINKER AFB, OK

Registration Details

NPI Number
1972530053
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2006 (20.099662813857 yrs)
Last Updated
Jul 8, 2007
Licenses
1389 (OK)
602 (AK)

Practice Information

Address
72ND MEDICAL GROUP
5700 ARNOLD ST
TINKER AFB, OK, 73145
Browse OK providers · Browse ZIP 73145
Phone
4057364943
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in TINKER AFB, OK

Name Credential NPI
CAITLIN ELIZABETH MICHAEL PA-C 1407002520
MR. SHAUN MARK SAUNDERS PA-C 1407257793
MICHAEL KLOSE 1053717975
JUAN FULGENCIO MERCADO GUZMAN PA-C 1407204829
PATRICK DAVID JONES PA-C 1801307202
STEVEN L HILTON PA-C 1376144428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.