Individual
JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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
363A00000X
Physician Assistant
000610
IA
363A00000X
Physician Assistant
Primary
85-000927
IL
Other
Enumeration date
02/07/2006
Last updated
05/24/2010
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