MR. Douglas Alan Blazer, PA
NPI #1104101823 in Rockford, Illinois
Provider Information
- NPI Number
- 1104101823
- Entity Type
- Individual
- Name
- MR. Douglas Alan Blazer, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Oct 13, 2011
- Last Updated
- Oct 13, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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