Individual
PATRICK D BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 E FLORIDA AVE, DENVER, CO 80210-2571
(720) 763-9001
(720) 763-9785
Mailing address
3801 E FLORIDA AVE, DENVER, CO 80210-2538
(720) 863-6012
(720) 763-9785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
26048
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
26048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19724268
—
CO
Enumeration date
10/12/2006
Last updated
05/11/2021
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