Organization
CA GROUP, LLC
Active
Parent organization
CA GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CA GROUP LLC
Authorized official
JAMES B DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DRIVE, SUITE W-1, BELLEVILLE, IL 62226
(616) 233-3066
Mailing address
4500 MEMORIAL DR, MEDICAL AFFAIRS CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226-5360
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
04/27/2011
Last updated
02/21/2013
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