Male or Other

Dr. John Bacon MD

Pediatrics Physician in West Chester, OH(View on Map)

Full Name

Dr. John Bacon MD

NPI Number

1487609657

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/24/2006

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

35.063936

Contact
Information

Purpose

Mailing
Location

Address

4685 FOREST AVE STE C
8040 PRINCETON-GLENDALE RD

City

Cincinnati
West Chester

State

OH
OH

Postal Code

45212-3359
45069-0000

Country

US
US

Telephone Number

(513) 246-7796
(513) 246-7000

Identifiers

Identifier

0952492

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/01/2014

Provider Address

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