Whalio Doctors

NPI 1013557933

Mountain West Derm - Blackhart PLLC

Organisation Dermatology Physician Spokane Valley, WA

Practice location

Address
1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444
Phone
(509) 456-7414
Fax
(509) 624-0763

Authorised official

Name
Bret S Blackhart
Title
Owner
Phone
(775) 336-3624

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI
1013557933
Entity type
Organization
NPI issued
8 Jan 2020
Record last updated
8 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.