Organization
MOLINE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE DESAUTELS (PRESIDENT)
(615) 345-6900
Entity
Organization
Contact information
Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/28/2019
Last updated
01/04/2024
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