Elton E Bacon, BOC/ABC
NPI #1467726927 in Tripler Amc, Hawaii
Provider Information
- NPI Number
- 1467726927
- Entity Type
- Individual
- Name
- Elton E Bacon, BOC/ABC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthotist
- Credential
- BOC/ABC
- Enumeration Date
- Mar 1, 2012
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 1 JARRETT WHITE RD DEPT OF THE ARMY
- Address 2
- ATTN: ORTHOPEDIC BRACE CLINIC (MCHK-DSO-A)
- City
- Tripler Amc
- State
- Hawaii
- ZIP Code
- 96859
- Phone
- (808) 433-6967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
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