NPI age
19 years
Enumerated 2006-10-19
● Active
Type 1 · Individual
DR. Richard Dale Blickenstaff, M.D.
Blickenstaff is 1 of 2 dermatology providers in Boise and 1 of 2 in Idaho.
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-11-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2 active dermatology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
6454 W Emerald Street
Boise, ID 837048734
Mailing address
6454 W Emerald Street
Boise, ID 837048734
Specialties
-
Dermatology PrimaryProcedural 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,...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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