Organization
ANESTHESIA & ANALGESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA VOLFSON MD (PRESIDENT)
(563) 324-8160
Entity
Organization
Contact information
Practice address
1227 EAST RUSHOLME STREET, DAVENPORT, IA 52803-2498
(563) 421-1000
(563) 421-7889
Mailing address
PO BOX 1245, BETTENDORF, IA 52722-0021
(563) 324-8160
(563) 324-8486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097543
—
IA
01
—
22056
WELLMARK
IA
Enumeration date
06/17/2006
Last updated
09/22/2020
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