Nickolas Bacon, MD

NPI #1972172666 in Festus, Missouri

Provider Information

NPI Number: 1972172666
Entity Type: Individual
Name: Nickolas Bacon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 17, 2021
Last Updated: Aug 5, 2024

Practice Location

Address: 1400 US HIGHWAY 61
City: Festus
State: Missouri
ZIP Code: 63028-4100
Phone: (636) 933-5337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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