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
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | C55792 (CA) |
| Diagnostic Radiology Physician | 2085R0202X | MD22503 (OR) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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Other diagnostic radiology physician providers in Mount Shasta
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.