Organization
CMH INSTITUTE FOR PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BULT MD (PRESIDENT)
(660) 826-5960
Entity
Organization
Contact information
Practice address
1245 N BUTTERFIELD RD, BOLIVAR, MO 65613-3017
(417) 326-7246
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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