Andrew Michael Bacon, MS, AT, ATC

NPI #1801219548 in Dayton, Ohio

Provider Information

NPI Number: 1801219548
Entity Type: Individual
Name: Andrew Michael Bacon, MS, AT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS, AT, ATC
Enumeration Date: Jan 31, 2014
Last Updated: Jan 5, 2022

Practice Location

Address: 300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101
City: Dayton
State: Ohio
ZIP Code: 45469-0001
Phone: (951) 541-4697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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