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Mark D Prince, MD
Family Medicine Physician in Lusk, Wyoming
NPI 1790708568

Mark D Prince is a Family Medicine Physician based in Lusk, WY. Mark D Prince practices in Lusk, WY and has the professional credentials of MD. The NPI Number for Mark D Prince is 1790708568 and holds a License No. 2848A (Wyoming).

The current practice location address for Mark D Prince is 921 S Ballancee Ave, Lusk, WY and can be reached out via phone at 307-334-4000.

Location: 921 S Ballancee Ave, Lusk, WY, 82225-0780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790708568
Provider Name
Mark D Prince
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
921 S Ballancee Ave, Lusk, WY, 82225-0780
Phone Number
307-334-4000
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82009A032 01 WY WPS TRIWEST
308045 01 WY BLUE SHIELD
00356 01 WY WINHEALTH PARTNERS
110187400 01 WY RAILROAD MEDICARE
114388300 05 WY
institution
Provider Business Practice Location Address Details
Address
921 S Ballancee Ave
City
Lusk
State
Wyoming
Zip
82225
Phone Number
307-334-4000
Fax Number
person
Provider Business Mailing Address Details
Address
921 S Ballancee Ave
City
Lusk
State
Wyoming
Zip
82225
Phone Number
307-334-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2848A (Wyoming)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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