Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT ALAN BLICKENSDERFER, D.O.
ActiveDR. SCOTT ALAN BLICKENSDERFER, D.O. is a Urology healthcare provider located in SOUTH BEND, Indiana. NPI 1578568572 is currently active in the NPPES registry. Verify at CMS.
Urology · SOUTH BEND, IN
Registration Details
- NPI Number
- 1578568572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.145063779285 yrs)
- Last Updated
- Mar 6, 2014
- License
-
02001398A (IN)
Practice Information
- Address
-
6301 UNIVERSITY COMMONSSTE 350SOUTH BEND, IN, 466351571Browse IN providers · Browse ZIP 46635
- Phone
- 5742344100
- Fax
- 5742821739
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN ANTHONY HUDAK | M.D. | 1831194919 |
| DR. ARTHUR PHILIP DEPAUW | M.D. | 1548265622 |
| DR. KATHLEEN MARIE DELNAY | M.D. | 1811992803 |
| DR. MARK ERNEST TOTH | M.D. | 1902880107 |
| JEFFREY C COOPER | MD | 1871562975 |
| ROGER WILLIAM JUMP III | D.O. | 1639467517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.