Douglas Alan Blazer is a Medical Physician Assistant based in Rockford, IL and is specialized in Medical. Douglas Alan Blazer practices in Rockford, IL and has the professional credentials of PA. The NPI Number for Douglas Alan Blazer is 1104101823 and holds a License No. 085004130 (Illinois).
The current practice location address for Douglas Alan Blazer is 3475 S Alpine Rd, Rockford, IL and can be reached out via phone at 815-874-8000.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085004130 | 01 | IL | STATE MEDICAL LICENSE |
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