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SHEILA M IDZERDA MD PLLC NPI 1902252133


NPI Information

NPI: 1902252133
Provider Name: SHEILA M IDZERDA, MD PLLC

Doing Business As: ACORN PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1819 S 22ND AVE
SUITE 100
BOZEMAN, MT
ZIP 59718
Phone: (406) 451-9118
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SHEILA M IDZERDA, MD PLLC is a primary care clinic center in Bozeman, MT. SHEILA M IDZERDA, MD PLLC NPI is 1902252133. The provider is registered as an organization entity type.
The provider Is Doing Business As Acorn Pediatrics.

The provider's business location address is:

1819 S 22ND AVE
SUITE 100
BOZEMAN, MT
ZIP 59718-070
Phone: (406) 451-9118

The provider's authorized official is Sheila M Idzerda .
The authorized official title is Owner and has the following contact phone number (406) 451-9118.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 5/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care9597MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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