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Troy Bacon, BA

NPI 1588319578 · on the registry since 2022 · sole proprietor

Practice

Address
1035 E Hunter Dr
Meridian, ID 83646
Phone
(208) 996-9795

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho