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Mark J Bult, MD
Specialist in Bolivar, Missouri
NPI 1326014945

Mark J Bult is a Specialist based in Bolivar, MO. Mark J Bult practices in Bolivar, MO and has the professional credentials of MD. The NPI Number for Mark J Bult is 1326014945 and holds a License No. R5G60 (Missouri).

The current practice location address for Mark J Bult is 1155 W Parkview, Bolivar, MO and can be reached out via phone at 417-326-7246 and via fax at 417-777-2968.

Location: 1155 W Parkview, Bolivar, MO, 65613-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326014945
Provider Name
Mark J Bult
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1155 W Parkview, Bolivar, MO, 65613-3011
Phone Number
417-326-7246
Fax Number
417-777-2968
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1155 W Parkview
City
Bolivar
State
Missouri
Zip
65613-7800
Phone Number
417-326-7246
Fax Number
417-777-2968
person
Provider Business Mailing Address Details
Address
1155 W Parkview
City
Bolivar
State
Missouri
Zip
65613-7800
Phone Number
417-326-7246
Fax Number
417-777-2968
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R5G60 (Missouri)
Definition
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.
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