Individual
DAVID RICHARD BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 NW RD MIZE RD, STE 200, BLUE SPRINGS, MO 64014
(816) 220-1117
Mailing address
203 NW RD MIZE RD STE 200, BLUE SPRINGS, MO 64014
(816) 220-1117
(816) 228-2053
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0422598
KS
207RC0000X
Cardiovascular Disease Physician
R4J65
MO
207RI0011X
Interventional Cardiology Physician
0422598
KS
207RI0011X
Interventional Cardiology Physician
R4J65
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005658218
AETNA
—
01
—
060014116
MEDICARE RAILROAD
—
01
—
15073018
BLUE SHIELD OF KC HMO
—
05
—
1699729202
—
MO
01
—
431092652 A022
CHAMPUS TRICARE
—
Enumeration date
05/19/2006
Last updated
09/11/2024
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