Mark J Bult, M.D.

NPI #1326014945 in Bolivar, Missouri

Provider Information

NPI Number: 1326014945
Entity Type: Individual
Name: Mark J Bult, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Feb 24, 2006
Last Updated: Dec 14, 2015

Practice Location

Address: 1155 W PARKVIEW
Address 2: SUITE 1C
City: Bolivar
State: Missouri
ZIP Code: 65613-7800
Phone: (417) 326-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

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