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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW MICHAEL BACON, MS, AT, ATC

Active

Specialist · DAYTON, OH

Registration Details

NPI Number
1801219548
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2014 (12.233104914492 yrs)
Last Updated
Jan 5, 2022
License
004263 (OH)

Practice Information

Address
300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101
DAYTON, OH, 454690001
Browse OH providers · Browse ZIP 45469
Phone
9515414697
Fax
9372295448
Primary Specialty
Specialist
174400000X

Other Specialist Providers in DAYTON, OH

Name Credential NPI
DR. MARIA B LIM-KONG M.D. 1760487508
DR. JOHN PEASE MOORE III M.D. 1619973971
STEVEN DOUGLAS KILIAN M.D. 1437151214
DR. ELLEN B PACIA M.D. 1801880851
DR. THOMAS M YUNGER JR. M.D. 1962496844
DR. RAJESH C PATEL M.D. 1225022965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.