Individual
MICHAEL A. BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-2462
(253) 968-2972
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2250
NE
Other
Enumeration date
06/07/2019
Last updated
09/26/2024
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