Organization
OA ASSOCIATES, LLC
Active
Parent organization
OA ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OA ASSOCIATES LLC
Authorized official
JAMES B. DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
4700 MEMORIAL DRIVE, STE. 350, BELLEVILLE, IL 62226
(618) 236-2246
(618) 236-2315
Mailing address
4500 MEMORIAL DR, MEDICAL AFFAIRS CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226-5360
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
02/22/2013
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