Individual
DR. ALLISON DANIELLE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A109867
CA
Other
Enumeration date
05/01/2008
Last updated
12/18/2023
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