Whalio Doctors

NPI 1184600405

Bryan Lee Bacon, DO

Practitioner Psychiatry Physician Apo, AE

Practice location

Address
Cmr 459 Box 2403, Apo, AE 09139
Phone
(314) 469-7775

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence DOS917 (HI)

Registry record

NPI
1184600405
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Dec 2005
Record last updated
30 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.