Individual provider · Type 1 NPI

Scott L. Bleazard, MD

Diagnostic Radiology Physician · Mount Shasta, CA

NPI number 1679695761 Active

Practice location

914 Pine St
Mount Shasta, CA 96067

Fax (855) 251-4626

Mailing address

PO Box 1086
Yreka, CA 96097-1086

Other practice locations

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 · (952) 595-1301

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XC55792 (CA)
Diagnostic Radiology Physician 2085R0202XMD22503 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

28 other providers at this address

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About NPI 1679695761

Scott L. Bleazard, MD's National Provider Identifier is 1679695761, issued on Apr 6, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mount Shasta, CA. The record was last updated on Mar 24, 2026.