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Dr. Richard Dale Blickenstaff, MD
Procedural Dermatology Physician in Boise, Idaho
NPI 1265514582

Richard Dale Blickenstaff is a Procedural Dermatology Physician based in Boise, ID and is specialized in Procedural Dermatology. Richard Dale Blickenstaff practices in Boise, ID and has the professional credentials of MD. The NPI Number for Richard Dale Blickenstaff is 1265514582 and holds a License No. M-5274 (Idaho).

The current practice location address for Richard Dale Blickenstaff is 6454 W Emerald Street, Boise, ID and can be reached out via phone at 208-377-0820.

Location: 6454 W Emerald Street, Boise, ID, 83704-8734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265514582
Provider Name
Richard Dale Blickenstaff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6454 W Emerald Street, Boise, ID, 83704-8734
Phone Number
208-377-0820
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6454 W Emerald Street
City
Boise
State
Idaho
Zip
83704-8734
Phone Number
208-377-0820
Fax Number
person
Provider Business Mailing Address Details
Address
6454 W Emerald Street
City
Boise
State
Idaho
Zip
83704-8734
Phone Number
208-377-0820
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
M-5274 (Idaho)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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Procedural Dermatology Physician
6454 W Emerald Street,
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83704-8734
208-377-0820
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