| 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 |
|---|---|
| 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 |