Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2009
NPI: 1710117528
Practice Locations (2)
MOUNTAIN WEST DERM - BLACKHART PLLC
1700 W RIVERSTONE DR
COEUR D ALENE, ID 838145683
51293039091255
MOUNTAIN WEST DERM - BLACKHART PLLC
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 992122444
51293039091255
Source: CMS National Downloadable File, September 2026.