Individual
DR. JEFFREY PAUL BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5442 LONGLEY LN, RENO, NV 89511-3297
(775) 770-7600
(775) 770-7880
Mailing address
5442 LONGLEY LN, RENO, NV 89511-3297
(775) 770-7600
(775) 770-7880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8951
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
8951
NV
207RP1001X
Pulmonary Disease Physician
8951
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016729
—
NV
Enumeration date
11/29/2005
Last updated
02/28/2025
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