John B Bak M.D.

NPI 1063413938 - Urology - 208800000X

NPI Details
NPI 1063413938
Gender Male
Enumeration Date 08/02/2005
Last Updated 11/16/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
11307 BRIDGEPORT WAY SW STE 217
LAKEWOOD WA, 98499-3024, US
Phone (253) 985-6134
Fax (253) 985-6137
Business Location
11307 BRIDGEPORT WAY SW STE 217
LAKEWOOD WA, 98499-3024, US
Phone (253) 985-6134
Fax (253) 985-6137
Toxanomy
Taxonomy Code 208800000X
License State Washington
License Number MD00044997
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According to our database, Dr. John B Bak M.D. NPI is 1063413938, taxonomy code is 208800000X and license number is MD00044997, license state is located at Washington. John B Bak M.D. physically located at 11307 Bridgeport Way Sw Ste 217, Lakewood WA, 98499-3024. NPI Number John B Bak M.D. has the Individual type.

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1063413938 NPI number is provided on an as is basis without warranty of any kind. 1063413938 is maintained by the National Plan & Provider Enumeration System. The contents of John B Bak M.D. are for informational purposes only.