Individual
DR. PATRICK NEPHI BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60640217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057248
—
WA
Enumeration date
07/15/2010
Last updated
08/29/2024
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