MSA ALLIANCE LLC NPI 1194033704

NPI Information

  • NPI: 1194033704
  • Provider Name: MSA ALLIANCE, LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 4600 MEMORIAL DR
    STE 320
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (618) 257-2100

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NPI Details

MSA ALLIANCE, LLC is a plastic and reconstructive surgery surgery in Belleville, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. MSA ALLIANCE, LLC NPI is 1194033704. 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 320
BELLEVILLE, IL
ZIP 62226-368
Phone: (618) 257-2100
Fax: (618) 257-2169

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 9/16/2010 and was last updated on 2/25/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive 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: 11/21/2025

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