Msa Alliance, LLC
NPI #1730516956 in Belleville, Illinois
Provider Information
- NPI Number
- 1730516956
- Entity Type
- Organization
- Organization Name
- Msa Alliance, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 2, 2013
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 4500 MEMORIAL DR
- Address 2
- MEDICAL AFFAIRS CREDENTIALING DEPARTMENT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 257-4644
Authorized Official
- Name
- JAMES B. DAVIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 257-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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