Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2007
NPI: 1538366240
Practice Locations (1)
MOUNTAIN WEST DERM - BLACKHART PLLC
2747 NE CONNERS AVE
BEND, OR 977018738
5413825712
Source: CMS National Downloadable File, September 2026.