Bard and Didriksen Pediatrics, P.c.

NPI #1669553186 in Glen Carbon, Illinois

Provider Information

NPI Number
1669553186
Entity Type
Organization
Organization Name
Bard and Didriksen Pediatrics, P.c.
Primary Specialty
Pediatrics
Enumeration Date
Oct 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2160 SO IL RT 157
Address 2
SUITE B
ZIP Code
62034
Phone
(618) 692-1212

Authorized Official

Name
MRS. STEPHANIE MARIE SUDHOLT
Title
OFFICE MANAGER
Phone
(618) 692-1212

Specialties & Taxonomy Codes

Specialty
Pediatrics

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