Individual
SHEILA M IDZERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1819 S 22ND AVE, STE 100, BOZEMAN, MT 59718-7070
(406) 522-5437
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 522-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9597
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27336
—
MT
Enumeration date
08/19/2006
Last updated
02/22/2022
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