PAMELA M BACON — OIG Excluded Provider (SPADALIA, MO, 1128b14)
PAMELA M BACON — OIG Excluded Provider (SPADALIA, MO, 1128b14) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: PAMELA M BACON; Type: Individual; Provider category: DENTAL PRACTICE.
| Name | PAMELA M BACON |
|---|---|
| Type | Individual |
| Provider category | DENTAL PRACTICE |
| Specialty | DENTIST |
| NPI | 1275593618 |
| City | SPADALIA |
| State | MO |
| ZIP | 65301 |
| Exclusion authority | 1128b14 |
| Exclusion reason | Default on health education loan or scholarship obligations |
| Exclusion date | 1993-11-21 |
| Source | HHS-OIG LEIE |
$1499/mo
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