Individual
DR. JOHN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 PRINCETON-GLENDALE RD, WEST CHESTER, OH 45069-0000
(513) 246-7000
(513) 246-5479
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7796
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.063936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0952492
—
OH
Enumeration date
05/24/2006
Last updated
10/01/2014
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