Organization · Type 2 NPI

Mountain West Derm-Blackhart, PLLC

Dermatology Physician · Boise, ID

NPI number 1548758501 Active

Practice location

7733 W Emerald St
Boise, ID 83704-9020

Call (208) 939-4599 Map

Fax (208) 939-5010

Mailing address

201 Franklin Rd Fl 3
Brentwood, TN 37027-5214

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

3 other providers at this address

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NPI record

NPI: 1548758501
Entity type: Organization (Type 2)
Issued: Apr 25, 2018
Last updated: Apr 25, 2018
Status: Active
Subpart: Yes of Mountain West Derm-Blackhart, PLLC

Other names

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Dermatology Clinic of Idaho · doing business as

Authorized official

Bret S Blackhart, MD
Owner
(775) 336-3624

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About NPI 1548758501

Mountain West Derm-Blackhart, PLLC's National Provider Identifier is 1548758501, issued on Apr 25, 2018. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Boise, ID. The record was last updated on Apr 25, 2018.