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Michael A. Bork, DO
General Practice Physician in Tacoma, Washington
NPI 1013576610

Michael A. Bork is a General Practice Physician based in Tacoma, WA. Michael A. Bork practices in Tacoma, WA and has the professional credentials of DO. The NPI Number for Michael A. Bork is 1013576610 and holds a License No. (Washington).

The current practice location address for Michael A. Bork is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-0354 and via fax at 253-968-2972.

Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA, 98431-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013576610
Provider Name
Michael A. Bork
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-0354
Fax Number
253-968-2972
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Madigan Army Medical Center 9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-5001
Phone Number
253-968-0354
Fax Number
253-968-2972
person
Provider Business Mailing Address Details
Address
Madigan Army Medical Center 9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-5001
Phone Number
253-968-0354
Fax Number
253-968-2972
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2250 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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