MARK D PRINCE, MD – NPI #1790708568
Family Medicine

NPI Profile for MARK D PRINCE in LUSK, WY.

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. Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Contact Information

MARK D PRINCE, MD

921 S BALLANCEE AVE
LUSK, WY 82225

Phone: 307-334-4000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for MARK D PRINCE · (Male)

NPI #	`1790708568`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/25/2006
Last updated	04/07/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	WY License # 2848A WY Medicaid 114388300 WY Other 308045 BLUE SHIELD WY Other 110187400 RAILROAD MEDICARE WY Other 00356 WINHEALTH PARTNERS WY Other 82009A032 WPS TRIWEST
Hospital affiliation(s)	NIOBRARA HEALTH & LIFE CENTER - (Critical Access) 921 SOUTH BALLANCEE AVENUE LUSK, WY 82225

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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