MSA ALLIANCE LLC NPI 1255647228

NPI Information

  • NPI: 1255647228
  • Provider Name: MSA ALLIANCE, LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 9515 HOLY CROSS LN
    SUITE 1
    BREESE, IL
    ZIP 62230
  • Phone: (618) 526-4511

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NPI Details

MSA ALLIANCE, LLC is a vascular surgery surgery in Breese, 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 1255647228. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9515 HOLY CROSS LN
SUITE 1
BREESE, IL
ZIP 62230-618
Phone: (618) 526-4511

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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