Organization
MOUNTAIN WEST DERM CALIFORNIA PC
Active
Organization
MOUNTAIN WEST DERM CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET BLACKHART MD (MD)
(775) 560-8668
Entity
Organization
Contact information
Practice address
10870 BROCKWAY RD, TRUCKEE, CA 96161
(530) 550-0440
(530) 582-8853
Mailing address
10870 BROCKWAY RD, TRUCKEE, CA 96161-2054
(530) 550-0440
(530) 582-8853
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
CA
Other
Enumeration date
10/06/2017
Last updated
08/13/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up