Mountain West Derm - Blackhart Pllc

NPI #1013557933 in Spokane Valley, Washington

Provider Information

NPI Number
1013557933
Entity Type
Organization
Organization Name
Mountain West Derm - Blackhart Pllc
Primary Specialty
Dermatology
Enumeration Date
Jan 8, 2020
Last Updated
Jan 8, 2020

Practice Location

Address
1807 N HUTCHINSON RD
ZIP Code
99212-2444
Phone
(509) 456-7414

Authorized Official

Name
BRET S BLACKHART, MD
Title
OWNER
Phone
(775) 336-3624

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology
Dermatology - Procedural DermatologyProcedural Dermatology
Dermatology

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