| Name: | Mountain West Derm - Blackhart, PLLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 09 Oct 2019 (5 years ago) |
| Brand Name: | Mountain West Derm - Blackhart, LLC |
| Entity Number: | 10115313 |
| Place of Formation: | NEVADA |
| Address: | 640 WEST MOANA LANE, RENO, NV 89509 |
| Mailing Address: | 640 W MOANA LANE, RENO, NV 89509 |
| Name | Role |
|---|---|
| Jeffrey Shackelton, M.D. | Manager |
| Jeffrey Shackelton, M.D. | Member |
| Bret Blackhart, M.D. | Manager |
| Bret Blackhart, M.D. | Member |
| Corporation Service Company | Registered Agent |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
