Dr. Richard Dale Blickenstaff, MD
Dr. Richard Dale Blickenstaff, MD is a Procedural Dermatology Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6454 W Emerald StBoise, ID 83704-8734
Phone: (208) 377-0820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X · Licence M-5274 (ID) |
|---|
Record details
| NPI number | 1265514582 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | November 29, 2007 |
Other providers in Boise
-
Ada Dermatology, PA
6454 W Emerald St, Boise, ID 83704-8734 · (208) 377-0820