Msa Alliance, LLC

NPI #1255647228 in Breese, Illinois

Provider Information

NPI Number: 1255647228
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: Aug 27, 2010
Last Updated: Feb 22, 2013

Practice Location

Address: 9515 HOLY CROSS LN
Address 2: SUITE 1
City: Breese
State: Illinois
ZIP Code: 62230-3618
Phone: (618) 526-4511

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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