Mark D Prince, MD

NPI #1790708568 in Lusk, Wyoming

Provider Information

NPI Number: 1790708568
Entity Type: Individual
Name: Mark D Prince, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Apr 7, 2021

Practice Location

Address: 921 S BALLANCEE AVE
City: Lusk
State: Wyoming
ZIP Code: 82225
Phone: (307) 334-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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