MOUNTAIN WEST DERM CALIFORNIA PC

TRUCKEE, CA
NPI1205346061
Entity TypeOrganization
Authorized ContactBRET BLACKHART
Md
775-560-8668
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2017-10-06
Last Update Date2018-08-13
Business Address
MOUNTAIN WEST DERM CALIFORNIA PC
10870 BROCKWAY RD
TRUCKEE, CA 96161
Phone number: 530-550-0440
Mailing Address
MOUNTAIN WEST DERM CALIFORNIA PC
10870 BROCKWAY RD
TRUCKEE, CA 96161-2054
Phone number: 530-550-0440
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