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Organization

MOUNTAIN WEST DERM - BLACKHART PLLC

Active
Other names
Alaska Center for Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
BRET S BLACKHART MD (OWNER)
(775) 560-8668
Entity
Organization

Contact information

Practice address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 646-8500
Mailing address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(775) 560-8668

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
07/11/2019
Last updated
08/18/2025
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