Search › Missouri › 174400000X
Mark Bult, M.D
NPI 1326014945 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1155 W Parkview
Suite 1c
Bolivar, MO 65613 - Phone
- (417) 326-7246
- Fax
- (417) 777-2968
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri