MARK PRINCE, MD
Family Medicine
Active
Individual
NPI: 1790708568
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2848A (WY) |
Frequently Asked Questions
NPI 1790708568 is the National Provider Identifier for MARK PRINCE, MD, a Family Medicine provider located in Lusk, WY. This NPI was enumerated on July 25, 2006.
MARK PRINCE, MD practices at 921 S BALLANCEE AVE, Lusk, WY 82225.
Quick Facts
- NPI
- 1790708568
- Type
- Individual
- Enumerated
- Jul 25, 2006
- Last Updated
- Apr 7, 2021
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