Individual
DR. JOHN B BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00044997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216025
STATE L&I
WA
01
—
0261681
STATE L&I
WA
01
—
0261684
STATE L&I
WA
01
—
0299315
STATE L&I
WA
05
—
7077449
—
WA
Enumeration date
08/02/2005
Last updated
11/24/2020
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