Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK J BULT, M.D.

Active Sole Proprietor

Specialist · BOLIVAR, MO

Registration Details

NPI Number: 1326014945
Provider Type: Individual
Gender: Male
NPI Issued: Feb 24, 2006 (20.177007980683 yrs)
Last Updated: Dec 14, 2015
License: R5G60 (MO)
Sole Proprietor: Yes

Practice Information

Address: 1155 W PARKVIEW

SUITE 1C

BOLIVAR, MO, 656137800
Browse MO providers · Browse ZIP 65613
Phone: 4173267246
Fax: 4177772968
Primary Specialty: Specialist
174400000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.