Healthcare Provider Details

I. General information

NPI: 1013342377
Provider Name (Legal Business Name): RICHARD ANDREW HURD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 09/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 EVANS RICEVILLE RD
BELT MT
59412-8400
US

IV. Provider business mailing address

533 EVANS RICEVILLE RD
BELT MT
59412-8400
US

V. Phone/Fax

Practice location:
  • Phone: 404-240-7600
  • Fax:
Mailing address:
  • Phone: 404-240-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4481
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: