Most Relevant Information
Provider Data
| NPI Number: | 1003836024 |
| Provider Name: | JEFFERY L BLEAZARD M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207PE0004X |
| Specialty: | Emergency Medicine |
| License Number: | 373429-1205 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1303 N MAIN ST
CEDAR CITY
UT
847209746
Practice Location Phone/Fax
| Phone: | 4358685251 |
| Fax: |
Provider Mailing Location
1303 N MAIN ST
CEDAR CITY
UT
847209746
Provider Mailing Phone/Fax
| Phone: | 4358685251 |
| Fax: |