Individual
ARTHUR J BACON
Active
Individual
ARTHUR J BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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