SearchNew Mexico363AM0700X

William Bacon, PA-C

NPI 1730181942 · on the registry since 2005

Practice

Address
1650 Hospital Dr Ste 500
Santa Fe, NM 87505
Phone
(505) 670-1976
Fax
(505) 983-7212
Organisation at this address
Em Software Llc
Vaida M. Stoik Md Pc
Heather H. Sena Md Pc
Stephen Lucero, Md, Pc
Mark Seredowych, Md, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico