Peter Andrew Bundgard, MD | |
100 Hospital Dr, Walthall County General Hospital, Tylertown, MS 39667-2022 | |
(601) 876-2122 | |
Not Available |
Full Name | Peter Andrew Bundgard |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Hospital Dr, Tylertown, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598784621 | NPI | - | NPPES |
0117315 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15002 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
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Peter Andrew Bundgard, MD Po Box 940, Washington, MS 39190-0940 Ph: (601) 446-6899 | Peter Andrew Bundgard, MD 100 Hospital Dr, Walthall County General Hospital, Tylertown, MS 39667-2022 Ph: (601) 876-2122 |