PATRICK N BACON

TRA-MINW, PS

Dr PATRICK N BACON is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2010 from Saint Louis University School Of Medicine.

Contact

TRA-MINW, PS

1455 BATTERSBY AVE
ENUMCLAW
WA
980223634

Tel: 2537614200

PATRICK N BACON Information

Npi 1477866739
Pac Id 9032341292
Professional Enrollment Id I20160719001483
Last Name BACON
First Name PATRICK
Middle Name N
Suffix
Gender M
Credential
Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRA-MINW, PS
Group Practice Pac Id 2163316167
Number Of Group Practice Members 107
Line 1 Street Address 1455 BATTERSBY AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ENUMCLAW
State WA
Zip Code 980223634
Phone Number 2537614200
Hospital Affiliation Ccn 1 500129
Hospital Affiliation Lbn 1 TACOMA GENERAL ALLENMORE HOSPITAL
Hospital Affiliation Ccn 2 500079
Hospital Affiliation Lbn 2 MULTICARE GOOD SAMARITAN HOSPITAL
Hospital Affiliation Ccn 3 500154
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4 500108
Hospital Affiliation Lbn 4 ST JOSEPH MEDICAL CENTER
Hospital Affiliation Ccn 5 500141
Hospital Affiliation Lbn 5 ST FRANCIS COMMUNITY HOSPITAL
Professional Accepts Medicare Assignment Y

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