Search › Missouri › 207R00000X
Nickolas Bacon, MD
NPI 1972172666 · on the registry since 2021
Practice
- Address
- 1400 Us Highway 61
Festus, MO 63028 - Phone
- (636) 933-5337
- Organisation at this address
- Provider Plus Llc
Id Consultants, P.C.
Modern Urology, Inc.
Contemporary Ob-Gyn Pc
Rouba Ghoussoub Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Additional practice sites
- 901 E 5th St, Washington, MO
- 615 S New Ballas Rd, Saint Louis, MO
- 10010 Kennerly Rd, Saint Louis, MO
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-05
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 Missouri