JEFFREY P BACON

SAINT MARYS MEDICAL GROUP INC

Dr JEFFREY P BACON is a male medical professional, specializing in Critical Care (intensivists). He graduated in 1993 from Wayne State University School Of Medicine.

Contact

SAINT MARYS MEDICAL GROUP INC

343 ELM ST
SUITE 402
RENO
NV
895034541

Tel: 7757707640

JEFFREY P BACON Information

Npi 1215910757
Pac Id 5597758805
Professional Enrollment Id I20080227000565
Last Name BACON
First Name JEFFREY
Middle Name P
Suffix
Gender M
Credential
Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Secondary Specialty 1 PULMONARY DISEASE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties PULMONARY DISEASE
Organization Legal Name SAINT MARYS MEDICAL GROUP INC
Group Practice Pac Id 7618113523
Number Of Group Practice Members 101
Line 1 Street Address 343 ELM ST
Line 2 Street Address SUITE 402
Marker Of Address Line 2 Suppression
City RENO
State NV
Zip Code 895034541
Phone Number 7757707640
Hospital Affiliation Ccn 1 290009
Hospital Affiliation Lbn 1 SAINT MARY'S REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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