Individual
DR. SCOTT L. BLEAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 PINE ST, MT SHASTA, CA 96067
(530) 926-9329
(855) 251-4626
Mailing address
PO BOX 1086, YREKA, CA 96097-1086
(530) 842-7297
(530) 842-9054
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C55792
CA
2085R0202X
Diagnostic Radiology Physician
MD22503
OR
Other
Enumeration date
04/06/2007
Last updated
03/24/2026
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