MEDICARE: DR. RICHARD ANDREW HURD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	4481	MT

General Provider Information

NPI Number	:	1013342377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ANDREW HURD M.D.

Provider Business Mailing Address
First Line	:	533 EVANS RICEVILLE RD
Second Line	:
City	:	BELT
State	:	MT
Zip	:	59412-8400
Country	:	US
Telephone Number	:	404-240-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 EVANS RICEVILLE RD
Second Line	:
City	:	BELT
State	:	MT
Zip	:	59412-8400
Country	:	US
Telephone Number	:	404-240-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/05/2013

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