MSA ALLIANCE LLC NPI 1063728038

NPI Information

MSA ALLIANCE, LLC is a vascular surgery surgery in Belleville, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MSA ALLIANCE, LLC NPI is 1063728038. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4600 MEMORIAL DR
STE 240
BELLEVILLE, IL
ZIP 62226-368
Phone: (618) 222-1020
Fax: (618) 222-1039

The provider's authorized official is James B. Davis .
The authorized official title is Executive Director and has the following contact phone number (618) 257-4644.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 2/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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