Organization
MSA ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DR, SUITE W2, BELLEVILLE, IL 62226-5368
(618) 767-3960
(618) 767-3959
Mailing address
4600 MEMORIAL DR, SUITE W2, BELLEVILLE, IL 62226-5368
(618) 767-3960
(618) 767-3959
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
IL
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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