Bleazard, Brock

Bleazard, Brock is an individual health care provider with primary practice located at 1303 N Main St , Cedar City UT 84721-9746. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bleazard, Brock can be contacted via phone (435) 868-5300.

Contact Information

Primary practice address
1303 N Main St Cedar City UT 84721-9746
Phone: (435) 868-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SL0941 Nevada
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11745801-1204 Utah

Profile Details

NPI number 1548608763
LBN Legal business name Bleazard, Brock
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Aug 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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