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NPI Verification

National Provider Identifier: 1063413938

John B Bak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

11307 BRIDGEPORT WAY SW STE 217

LAKEWOOD, WA 984993024

Phone: 253-985-6134

NPI Enumeration Date

August 2, 2005

NPI Number

1063413938

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry