DR. Barry J Bacon, MD

NPI #1053309146 in Colville, Washington

Provider Information

NPI Number: 1053309146
Entity Type: Individual
Name: DR. Barry J Bacon, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 E COLUMBIA AVE
City: Colville
State: Washington
ZIP Code: 99114-3354
Phone: (509) 684-3701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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