# MSA ALLIANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548680267
- **Authorized official:** JAMES DAVIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (618) 257-4644

## Contact information

- **Practice address:** 4600 MEMORIAL DR, SUITE W2, BELLEVILLE, IL 62226-5368
- **Practice address phone:** (618) 767-3960
- **Practice address fax:** (618) 767-3959
- **Mailing address:** 4600 MEMORIAL DR, SUITE W2, BELLEVILLE, IL 62226-5368
- **Mailing address phone:** (618) 767-3960
- **Mailing address fax:** (618) 767-3959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014