NPI 1659157774
Jill Blickensderfer, MTASCP
Practice location
- Address
- 3200 Canyon Lake Dr, Rapid City, SD 57702-8114
- Phone
- (605) 355-2500
- Fax
- (605) 355-2514
Registered specialties
Pathology Specialist/Technologist
Primary
Registry record
- NPI
- 1659157774
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Sep 2023
- Record last updated
- 5 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.