BROCK BLEAZARD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1548608763- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1303 N MAIN ST, CEDAR CITY, UT, 847219746
- Phone
- (435) 868-5300
Specialties & Taxonomies
Specialist
License: NV #SL0941
Radiology, Diagnostic Radiology
Primary License: UT #11745801-1204