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Organization

ASTHMA ALLERGY CLINIC OF QUAD CITIES, S.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHANA R VELAGAPUDI M.D. (PRESIDENT)
(309) 764-5900
Entity
Organization

Contact information

Practice address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 764-5900
(309) 764-5926
Mailing address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 764-5900
(309) 764-5926

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
10/22/2007
Last updated
12/03/2007
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