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Mountain West Derm-Blackhart, PLLC — NPI 1548758501, Boise, ID | NPI Central

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NPI 1548758501

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Mountain West Derm-Blackhart, PLLC

NPI 1548758501 · Dermatology Physician · Boise, ID

Provider details

NPI number: 1548758501
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Parent organization: Mountain West Derm-Blackhart, PLLC
Authorized official: Bret Blackhart, Owner

Practice location

7733 W Emerald St

Boise, ID 83704-9020

Phone: (208) 939-4599

Fax: (208) 939-5010

More ID providers

Mailing address

201 Franklin Rd Fl 3

Brentwood, TN 37027-5214

Registry dates

Enumerated: 2018-04-25
Last updated: 2018-04-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.