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Individual

ROY M. BAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3181
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3181

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-167022
IL
207L00000X
Anesthesiology Physician
100064
AK
207L00000X
Anesthesiology Physician
4127-320
WI
207L00000X
Anesthesiology Physician
Primary
A79654
CA
207L00000X
Anesthesiology Physician
MD61096343
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A796540
BLUE SHIELD OF CA
CA
05
00A796540
CA
Enumeration date
08/04/2006
Last updated
01/14/2026
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