Individual provider · Type 1 NPI
Mark J. Bult, MD
Specialist · Bolivar, MO
NPI number
1326014945
Active
Practice location
1155 W Parkview, Suite 1C
Bolivar, MO 65613-7800
Fax (417) 777-2968
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | R5G60 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1326014945
Mark J. Bult, MD's National Provider Identifier is 1326014945, issued on Feb 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bolivar, MO. The record was last updated on Dec 14, 2015.