Sheila M Idzerda, MD Pllc

NPI #1902252133 in Bozeman, Montana

Provider Information

NPI Number: 1902252133
Entity Type: Organization
Organization Name: Sheila M Idzerda, MD Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 1819 S 22ND AVE
Address 2: SUITE 100
City: Bozeman
State: Montana
ZIP Code: 59718-7070
Phone: (406) 451-9118

Authorized Official

Name: DR. SHEILA M IDZERDA, MD
Title: OWNER
Phone: (406) 451-9118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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