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MSA ALLIANCE LLC NPI 1093258154


NPI Information

NPI: 1093258154
Provider Name: MSA ALLIANCE, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2 MEMORIAL DR
SUITE 201
ALTON, IL
ZIP 62002
Phone: (618) 222-1020
Get Directions

MSA ALLIANCE, LLC is a vascular surgery surgery in Alton, 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 1093258154. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 MEMORIAL DR
SUITE 201
ALTON, IL
ZIP 62002-723
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 11/22/2016 and was last updated on 11/22/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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