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Douglas Blazer, PA
NPI 1104101823 · on the registry since 2011
Practice
- Address
- 3475 S Alpine Rd
Rockford, IL 61109 - Phone
- (815) 874-8000
- Organisation at this address
- Physicians Immediate Care Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois