According to our database, the NPI number for Bruce R Bacon MD is 1083622963 and activated since 17 years ago. Bruce R Bacon MD is an individual provider who specializes in Gastroenterology, and the primary practice location is 3660 Vista Ave, Saint Louis, MO 63110. You can also contact Bruce R Bacon MD via telephone number is (314) 577-8764. Provider NPI information was last updated on 03/18/2008.

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Overview of Bruce R Bacon MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/04/2006
  • Last updated: 03/18/2008

Primary Scrop of Practice

  • Taxonomy Code: 207RG0100X
  • Specialty: Gastroenterology
  • License Number: R3L81
  • License State: MO

Provider Mailing Address

  • Address: 3691 Rutger St
    Provider Enrollment
    Saint Louis, MO 63110
  • Phone: 314-977-4440
  • Fax:

Provider Practice Location

  • Address: 3660 Vista Ave
    Saint Louis, MO 63110
  • Phone: 314-577-8764
  • Fax: 314-577-8125

Scope of Practice

  • Taxonomy Code: 207RG0100X
  • Specialty: Gastroenterology
  • License Number: R3L81
  • License State: MO
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Bruce R Bacon MD?
  • A: The npi number for Bruce R Bacon MD is 1083622963.
  • Q: What are Bruce R Bacon MD's specialties?
  • A: Bruce R Bacon MD's specialties are Gastroenterology and different specialities.
  • Q: What is the medical license for Bruce R Bacon MD?
  • A: The medical license number for Bruce R Bacon MD is R3L81 and issued in MO in USA.
  • Q: Where is Bruce R Bacon MD practice location?
  • A: Bruce R Bacon MD is practicing at 3660 Vista Ave, Saint Louis, MO 63110.
  • Q: How to contact Bruce R Bacon MD?
  • A: You can contact Bruce R Bacon MD via 314-577-8764.