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Contact Information

SCOTT L BLEAZARD, MD
914 PINE ST
MOUNT SHASTA, CA96067
 Phone: 530-926-9329
 Fax: 855-251-4626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SCOTT L BLEAZARD · (Male)

NPI # 1679695761
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2007
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # C55792
  • OR License # MD22503
Hospital affiliation(s)
  • FAIRCHILD MEDICAL CENTER - (Critical Access)
    444 BRUCE STREET
    YREKA, CA 96097
  • MERCY MEDICAL CENTER MT SHASTA - (Critical Access)
    914 PINE STREET
    MOUNT SHASTA, CA 96067
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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