MSA ALLIANCE LLC NPI 1528372992

NPI Information

  • NPI: 1528372992
  • Provider Name: MSA ALLIANCE, LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 4550 MEMORIAL DR
    STE A-480
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (618) 222-1020

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NPI Details

MSA ALLIANCE, LLC is a neurology psychiatry neurology in Belleville, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MSA ALLIANCE, LLC NPI is 1528372992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4550 MEMORIAL DR
STE A-480
BELLEVILLE, IL
ZIP 62226-372
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 7/28/2010 and was last updated on 2/21/2013.

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
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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