NPI 1740633015
Mountain West Derm - Blackhart PLLC
Practice location
- Address
- 640 W Moana Ln, Reno, NV 89509-4903
- Phone
- (775) 324-0699
- Fax
- (775) 323-6814
- Mailing address
- 3950 Gs Richards Blvd, Carson City, NV 89703-8457
Authorised official
- Name
- Bret Blackhart
- Title
- Managing Partner
- Phone
- (775) 882-8777
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1740633015
- Entity type
- Organization
- NPI issued
- 21 Jul 2016
- Record last updated
- 30 Jul 2025
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.