Jeffrey Lance Bacon, D.O.

NPI #1255391132 in Sterling, Colorado

Provider Information

NPI Number: 1255391132
Entity Type: Individual
Name: Jeffrey Lance Bacon, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Mar 24, 2006
Last Updated: Mar 18, 2008

Practice Location

Address: 615 FAIRHURST ST
City: Sterling
State: Colorado
ZIP Code: 80751-4564
Phone: (970) 521-3223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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