Organization
VALLEY ANESTHESIA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE MOEN CRNA (PRESIDENT)
(715) 425-8326
Entity
Organization
Contact information
Practice address
1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6155
(715) 426-4660
Mailing address
373 MILWAUKEE RD, HUDSON, WI 54016-8130
(715) 425-8326
(715) 425-8350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59436-030
WI
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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