Ada Dermatology, P.a.

  • 1952483299 NPI Number
  • |
  • Actived: 17 years ago
  • |
Ada Dermatology, P.a. is a health care provider based in Boise, ID. The NPI Number is 1952483299 and it has been active since 17 years ago. The specialty is Procedural Dermatology, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Procedural Dermatology services, Ada Dermatology, P.a. is an excellent option. We are here to help you get the care you need.

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Overview of Ada Dermatology, P.a.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/19/2006
  • Last updated: 01/30/2012

Primary Scrop of Practice

  • Taxonomy Code: 207NS0135X
  • Specialty: Procedural Dermatology
  • License Number: M-5274
  • License State: ID

Provider Mailing Address

  • Address: 6454 W Emerald Street
    Boise, ID 83704
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 6454 W Emerald Street
    Boise, ID 83704
  • Phone: 208-377-0820
  • Fax:

Authorized Official

  • Name: DR. Richard Dale Blickenstaff M.D.
  • Position/Title: President
  • Telephone Number: 208-377-0820

Scope of Practice

  • Taxonomy Code: 207NS0135X
  • Specialty: Procedural Dermatology
  • License Number: M-5274
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 002639100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ada Dermatology, P.a.?
  • A: The npi number for Ada Dermatology, P.a. is 1952483299.
  • Q: What are Ada Dermatology, P.a.'s specialties?
  • A: Ada Dermatology, P.a.'s specialties are Procedural Dermatology and different specialities.
  • Q: Where is Ada Dermatology, P.a. business practice location?
  • A: Ada Dermatology, P.a. business practice location is 6454 W Emerald Street, Boise, ID 83704.
  • Q: How to contact Ada Dermatology, P.a.?
  • A: You can contact Ada Dermatology, P.a. via 208-377-0820.
  • Q: What is the authorized official for Ada Dermatology, P.a.?
  • A: The authorized office name is DR. Richard Dale Blickenstaff M.D. with position/title is President and you can reach the authorized official via phone number 2083770820.
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