Individual
ARTHUR J BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6365 E TANQUE VERDE RD #120, TUCSON, AZ 85715-3848
(520) 290-0300
(520) 298-9230
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3296
(702) 804-3655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103760
PACIFICARE SECURE HORIZON
—
01
—
2084836
UNITED HEALTHCARE
—
01
—
2Z2146
HEALTHNET
—
01
—
860780125
CIGNA
—
01
—
AZ0775800
BLUE CROSS BLUE SHIELD
—
01
—
P00240773
RR MEDICARE
—
Enumeration date
12/01/2005
Last updated
03/14/2017
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