Individual provider · Type 1 NPI
Reva Ann Bork, DPM
Foot & Ankle Surgery Podiatrist · Nashville, TN
NPI number
1659832038
Active
Practice location
397 Wallace Rd, Bldg. C, Ste. 411
Nashville, TN 37211-8028
Fax (615) 332-0340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 924 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1659832038
Reva Ann Bork, DPM's National Provider Identifier is 1659832038, issued on Mar 27, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Nashville, TN. The record was last updated on Jun 26, 2024.