DR. RICHARD BLICKENSTAFF
M.D. specializing in dermatology in Boise, Idaho
NPI: 1265514582
Provider Type
1
Practice Locations
Mailing Location
6454 W EMERALD STREET
BOISE, ID 83704
Practice Location
Provider Information
Gender:M
Sole Proprietor:Yes
Enumeration Date:10/19/2006
Last Updated:11/29/2007
Credentials
Primary Credential:M.D.