Organization
MSA ALLIANCE, LLC DBA PULMONARY PHYSICIANS OF SOUTHERN ILLINOIS
Active
Organization
MSA ALLIANCE, LLC DBA PULMONARY PHYSICIANS OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B. DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
1245 S MILL ST, NASHVILLE, IL 62263-2004
(618) 327-8119
(618) 327-8141
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MEDICAL AFFAIRS, BELLEVILLE, IL 62226
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/13/2015
Last updated
02/17/2015
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