MEDICARE: HAL DAVID MACMURDO,M.D. APMC

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	225400000X	Rehabilitation Practitioner	MD021265	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972766707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAL DAVID MACMURDO,M.D. APMC

Provider Business Mailing Address
First Line	:	PO BOX 399
Second Line	:
City	:	OPELOUSAS
State	:	LA
Zip	:	70571-0399
Country	:	US
Telephone Number	:	337-948-1444
Fax Number	:	337-948-0065

Provider Business Practice Location Address
First Line	:	823 NORTH UNION STREET
Second Line	:
City	:	OPELOUSAS
State	:	LA
Zip	:	70570-6313
Country	:	US
Telephone Number	:	337-948-1444
Fax Number	:	337-948-0065

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. HAL DAVID MACMURDO
Credential	:	M.D. APMC
Telephone Number	:	337-948-1444

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/31/2008

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