Organization
OA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
1404 CROSS ST, 2ND FLOOR SUITE 2941, SHILOH, IL 62269-2988
(618) 234-9884
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MEDICAL AFFAIRS CREDENTIALING DEPT, BELLEVILLE, IL 62226
(618) 257-4644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
Other
Enumeration date
04/13/2016
Last updated
04/28/2016
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