Organization
BACON & PETERSON ANESTHESIA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRILL PHILIP BACON M.D. (PARTNER)
(805) 644-4477
Entity
Organization
Contact information
Practice address
3400 LOMA VISTA RD, STE. 9, VENTURA, CA 93003-3033
(805) 644-4477
(805) 644-0347
Mailing address
3400 LOMA VISTA RD, STE. 9, VENTURA, CA 93003-3033
(805) 644-4477
(805) 644-0347
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
C31585
CA
Other
Enumeration date
07/13/2006
Last updated
01/02/2009
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