Msa Alliance, LLC

NPI #1477893972 in Breese, Illinois

Provider Information

NPI Number
1477893972
Entity Type
Organization
Organization Name
Msa Alliance, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MSA ALLIANCE, LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Feb 20, 2013
Last Updated
Feb 26, 2013

Practice Location

Address
9515 HOLY CROSS LN
Address 2
SUITE 3
City
Breese
ZIP Code
62230-3618
Phone
(618) 526-8585

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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Organizations

Provider Name
Msa Alliance, LLC

Part of Msa Alliance, LLC

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