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Brock Bleazard
Diagnostic Radiology Physician in Cedar City, Utah
NPI 1548608763

Brock Bleazard is a Diagnostic Radiology Physician based in Cedar City, UT and is specialized in Diagnostic Radiology. Brock Bleazard practices in Cedar City, UT. The NPI Number for Brock Bleazard is 1548608763 and holds a License No. SL0941 (Utah).

The current practice location address for Brock Bleazard is 1303 N Main St, Cedar City, UT and can be reached out via phone at 435-868-5300.

Location: 1303 N Main St, Cedar City, UT, 84721-9746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548608763
Provider Name
Brock Bleazard
Credential
Provider Entity Type
Individual
Gender
Male
Address
1303 N Main St, Cedar City, UT, 84721-9746
Phone Number
435-868-5300
Fax Number
Provider Enumeration Date
06/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1303 N Main St
City
Cedar City
State
Utah
Zip
84721-9746
Phone Number
435-868-5300
Fax Number
person
Provider Business Mailing Address Details
Address
1303 N Main St
City
Cedar City
State
Utah
Zip
84721-9746
Phone Number
435-868-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11745801-1204 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
SL0941 (Nevada)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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