Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beau Irvine Blazek, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447051602

Beau Irvine Blazek, DO is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2880 N Tenaya Way Fl 2
Las Vegas, NV 89128-0618
Phone: (702) 962-9546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447051602
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 23, 2025
Mailing address2880 N Tenaya Way Fl 2, Las Vegas, NV 89128-0618

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