MOUNTAIN WEST DERM - BLACKHART PLLC

BEND, OR
NPI1447764741
Entity TypeOrganization
Authorized ContactBRET S BLACKHART
Md
775-336-3624
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2017-11-22
Last Update Date2017-11-22
Business Address
MOUNTAIN WEST DERM - BLACKHART PLLC
2747 NE CONNERS AVE
BEND, OR 97701-8738
Phone number: 541-382-5712
Mailing Address
MOUNTAIN WEST DERM - BLACKHART PLLC
640 W MOANA LN
RENO, NV 89509-4903
Phone number: 775-324-0699
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