Organization
MSA ALLIANCE, LLC
Active
Parent organization
MSA ALLIANCE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MSA ALLIANCE, LLC
Authorized official
JAMES B. DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
9515 HOLY CROSS LN, SUITE 2, BREESE, IL 62230-3618
(618) 664-1230
Mailing address
4500 MEMORIAL DR, MEDICAL AFFAIRS CREDENTIALING DEPT, BELLEVILLE, IL 62226-5360
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
IL
Other
Enumeration date
02/18/2013
Last updated
02/20/2013
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