NPI 1013576610

Michael A. Bork, DO

Practitioner General Practice Physician Tacoma, WA

Practice location

Address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5001
Phone: (253) 968-2462
Fax: (253) 968-2972
Mailing address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2250 (NE)

Other General Practice providers in Washington →

Registry record

NPI: 1013576610
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2019
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.