Organization
VALLEY VIEW ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND MOVVA MD (CEO)
(309) 762-5560
Entity
Organization
Contact information
Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IL
367500000X
Certified Registered Nurse Anesthetist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0715466
MEDICAID
IA
Enumeration date
01/18/2006
Last updated
01/29/2014
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