Individual
DR. DAVID S BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3643 N ROXBORO RD, DURHAM, NC 27704
(919) 470-6186
Mailing address
PO BOX 15609, DURHAM, NC 27704
(919) 384-0200
(919) 384-0600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34510
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7912491
—
NC
Enumeration date
06/30/2006
Last updated
12/29/2011
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