Individual
JOSHUA LOGAN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2555 UNIVERSITY BLVD, DAYTON, OH 45324
(937) 775-8188
Mailing address
2555 UNIVERSITY BLVD, DAYTON, OH 45324
(937) 775-8188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102210178
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
07/01/2026
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