Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Robert Bacon, PA-C

Individual provider Medical Physician Assistant · NPI 1972530053

Mr. Mark Robert Bacon, PA-C is a Medical Physician Assistant in Tinker AFB, Oklahoma. Licensed in Alaska and Oklahoma. Registered with an NPI since 2006.

Licensed in
AK, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

72ND Medical Group 5700 Arnold St
Tinker AFB, OK 73145
Phone: (405) 736-4943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1389 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 602 (AK)

Record details

NPI number1972530053
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address748 Milan Ct, Edmond, OK 73034-6897

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