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WILLIAM T BACON IV PA-C

PA-C

Medical Physician Assistant

NPI: 1730181942IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

2001-PA36(NM)

Education

OTHER

Class of 2001

Contact & Hours

Address
1650 HOSPITAL DR STE 500
SANTA FE, NM 87505

Quick Facts

NPI
1730181942
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
25

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