MEDICARE: PEDIATRICS PLUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1316193048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRICS PLUS

Provider Business Mailing Address
First Line	:	834 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2836
Country	:	US
Telephone Number	:	406-723-0123
Fax Number	:	406-723-0211

Provider Business Practice Location Address
First Line	:	834 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2836
Country	:	US
Telephone Number	:	406-723-0123
Fax Number	:	406-723-0211

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. JILL D ROBISON
Credential	:	M.D.
Telephone Number	:	406-723-0123

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/13/2008

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Directions to “PEDIATRICS PLUS ” Practice Location

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