NPI 1467726927

Elton E Bacon, BOCABC

Practitioner Orthotist Tripler Amc, HI

Practice location

Address: 1 Jarrett White Rd Dept of the Army Attn: Orthopedic Brace Clinic (mchk-Dso-A), Tripler Amc, HI 96859
Phone: (808) 433-6967
Fax: (808) 433-9227

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Other Orthotist providers in Hawaii →

Registry record

NPI: 1467726927
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2012
Record last updated: 1 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.