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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