| NPI | 1447764741 |
|---|---|
| Doing Business As | BEND DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRET S BLACKHART Md 775-336-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |