Msa Alliance, LLC

NPI #1154661825 in Sparta, Illinois

Provider Information

NPI Number
1154661825
Entity Type
Organization
Organization Name
Msa Alliance, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MSA ALLIANCE, LLC
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Feb 18, 2013
Last Updated
Feb 22, 2013

Practice Location

Address
1 BROADWAY PLZ
City
Sparta
ZIP Code
62286-1800
Phone
(618) 222-1020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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