Healthcare Provider Details

I. General information

NPI: 1225266364
Provider Name (Legal Business Name): SARAH BLIGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KEUPP M.D.

II. Dates (important events)

Enumeration Date: 06/28/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 N SIOUX POINT RD STE 100
DAKOTA DUNES SD
57049-5091
US

IV. Provider business mailing address

2730 PIERCE ST STE. 402
SIOUX CITY IA
51104-3796
US

V. Phone/Fax

Practice location:
  • Phone: 605-217-5500
  • Fax: 605-217-5515
Mailing address:
  • Phone: 712-234-8725
  • Fax: 712-234-8728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number42647
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: