Search › Oklahoma › 363AM0700X
Mark Bacon, PA-C
NPI 1972530053 · on the registry since 2006
Practice
- Address
- 72nd Medical Group
5700 Arnold St
Tinker Afb, OK 73145 - Phone
- (405) 736-4943
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- OK, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Oklahoma