Asthma Allergy Clinic of Quad Cities, S.c

NPI #1861681306 in Moline, Illinois

Provider Information

NPI Number: 1861681306
Entity Type: Organization
Organization Name: Asthma Allergy Clinic of Quad Cities, S.c
Primary Specialty: Allergy & Immunology - Allergy
Enumeration Date: Oct 22, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 525 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6138
Phone: (309) 764-5900

Authorized Official

Name: MOHANA R VELAGAPUDI, M.D.
Title: PRESIDENT
Phone: (309) 764-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary

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