| Acorn Pediatrics | |
|
1819 S 22nd Ave Suite 100 Bozeman MT 59718-7070 | |
| (406) 451-9118 | |
| Not Available |
| Full Name | Acorn Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1819 S 22nd Ave, Bozeman, Montana |
| Authorized Official Name and Position | Sheila M Idzerda (OWNER) |
| Authorized Official Contact | 4064519118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Pediatrics 1819 S 22nd Ave Suite 100 Bozeman MT 59718-7070 Ph: (406) 451-9118 | Acorn Pediatrics 1819 S 22nd Ave Suite 100 Bozeman MT 59718-7070 Ph: (406) 451-9118 |
| NPI Number | 1902252133 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 05/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902252133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9597 (Montana) | Primary |
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