MEDICARE: LINDA C BUNCH MD 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	207R00000X	Internal Medicine Physician	018178	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	:	1760538326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA C BUNCH MD APMC

Provider Business Mailing Address
First Line	:	3602 CYPRESS ST
Second Line	:	SUITE A
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7314
Country	:	US
Telephone Number	:	318-388-0114
Fax Number	:	318-388-0954

Provider Business Practice Location Address
First Line	:	3602 CYPRESS ST
Second Line	:	SUITE A
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7314
Country	:	US
Telephone Number	:	318-388-0114
Fax Number	:	318-388-0954

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LINDA CAMILLE BUNCH
Credential	:	MD
Telephone Number	:	318-388-0114

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	03/16/2011

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