Msa Alliance, LLC

NPI #1043559842 in Sparta, Illinois

Provider Information

NPI Number
1043559842
Entity Type
Organization
Organization Name
Msa Alliance, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MSA ALLIANCE, LLC
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Feb 14, 2013
Last Updated
Feb 25, 2013

Practice Location

Address
1 BROADWAY PLZ
City
Sparta
ZIP Code
62286-1800
Phone
(618) 257-2100

Authorized Official

Name
JAMES B. DAVIS
Title
EXECUTIVE DIRECTOR
Phone
(618) 257-4644

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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