Organization
MSA ALLIANCE, LLC
Active
Organization
MSA ALLIANCE, 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
4600 MEMORIAL DR, SUITE 200, BELLEVILLE, IL 62226-5368
(618) 233-2220
(618) 233-2555
Mailing address
4600 MEMORIAL DR, SUITE 200, BELLEVILLE, IL 62226-5368
(618) 233-2220
(618) 233-2555
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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