Organization
MOUNTAIN WEST DERM - BLACKHART PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET BLACKHART M.D. (MANAGING PARTNER)
(775) 882-8777
Entity
Organization
Contact information
Practice address
640 W MOANA LN, RENO, NV 89509-4903
(775) 324-0699
(775) 323-6814
Mailing address
3950 GS RICHARDS BLVD, CARSON CITY, NV 89703-8457
(775) 882-8777
(775) 888-8062
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
193400000X
NV
Other
Enumeration date
07/21/2016
Last updated
07/30/2025
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