Lookup NPI Numbers from the NPI Registry
NPI Profile for BAILEE M BLICKENSDERFER in RAPID CITY, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1710758065 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 01/15/2024 | |
| Last updated | 06/16/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BAILEE M BLICKENSDERFER
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BAILEE M BLICKENSDERFER, PA-C