Individual provider · Type 1 NPI

Mark Anthony Stultz

Student in an Organized Health Care Education/Training Program · Pinehurst, NC

NPI number 1245801554 Active

Practice location

155 Memorial Dr
Pinehurst, NC 28374-8710

Mailing address

669 Montclair Rd
Fayetteville, NC 28314-2312

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

247 other providers at this address

About NPI 1245801554

Mark Anthony Stultz's National Provider Identifier is 1245801554, issued on Jul 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pinehurst, NC. The record was last updated on Jul 7, 2021.