Organization
OA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. DAVIS FACHE, MBA, MHSA (EXECUTIVE DIRECTOR)
(618) 257-6301
Entity
Organization
Contact information
Practice address
4700 MEMORIAL DRIVE, STE. 340, BELLEVILLE, IL 62226
(618) 236-2246
(618) 235-9020
Mailing address
4500 MEMORIAL DRIVE, MEDICAL AFFAIRS OFFICE, BELLEVILLE, IL 62226
(618) 257-6568
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
07/23/2012
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