person
William T Bacon, PA-C
Medical Physician Assistant in Santa Fe, New Mexico
NPI 1730181942

William T Bacon is a Medical Physician Assistant based in Santa Fe, NM and is specialized in Medical. William T Bacon practices in Santa Fe, NM and has the professional credentials of PA-C. The NPI Number for William T Bacon is 1730181942 and holds a License No. 2001-PA36 (New Mexico).

The current practice location address for William T Bacon is 1650 Hospital Dr Ste 800, Santa Fe, NM and can be reached out via phone at 505-395-3000 and via fax at 505-982-5003.

Location: 1650 Hospital Dr Ste 800, Santa Fe, NM, 87505-4789
person
Provider Profile Details
NPI Number
1730181942
Provider Name
William T Bacon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1650 Hospital Dr Ste 800, Santa Fe, NM, 87505-4789
Phone Number
505-395-3000
Fax Number
505-982-5003
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05638852 05 NM
institution
Provider Business Practice Location Address Details
Address
1650 Hospital Dr Ste 800
City
State
Zip
87505-4789
Phone Number
505-395-3000
Fax Number
505-982-5003
person
Provider Business Mailing Address Details
Address
1650 Hospital Dr Ste 800
City
State
Zip
87505-4789
Phone Number
505-395-3000
Fax Number
505-982-5003
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2001-PA36 (New Mexico)
Definition
Definition to come...
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