NPI 1184600405
Bryan Lee Bacon, DO
Practice location
- Address
- Cmr 459 Box 2403, Apo, AE 09139
- Phone
- (314) 469-7775
Registered specialties
Psychiatry Physician
Primary
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.