Search › Idaho › 207NS0135X
Richard Blickenstaff, M.D
NPI 1265514582 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6454 W Emerald Street
Boise, ID 83704 - Phone
- (208) 377-0820
- Organisation at this address
- Ada Dermatology, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207NS0135X
207NS0135X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho