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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
4700 MEMORIAL DR, SUITE 350, BELLEVILLE, IL 62226-5373
(618) 235-7065
Mailing address
4500 MEMORIAL DRIVE CREDENTIALING DEPT, MEMORIAL HOSPITAL MEDICAL AFFAIRS, 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
08/17/2015
Last updated
08/17/2015
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