DOUGLAS ALAN BLAZER

ROCKFORD, IL
NPI1104101823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085004130)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
Mr. DOUGLAS ALAN BLAZER PA
3475 S ALPINE RD
ROCKFORD, IL 61109-2604
Phone number: 815-874-8000
Mailing Address
Mr. DOUGLAS ALAN BLAZER PA
3475 S ALPINE RD
ROCKFORD, IL 61109-2604
Phone number: 815-874-8000
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