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DR. MARK A BLASER MD

Allergy and Immunology

Moline, Illinois

Provider NPI: 1982683264

Provider Information:
DR. MARK A BLASER MD


Practice Location:
600 JOHN DEERE ROAD SUITE 200 MOLINE, IL 61265 US
Tel: 309-779-4200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
IL0360778877

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARE370002995IL01
036078877IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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