Msa Alliance, LLC

NPI #1760819676 in Smithton, Illinois

Provider Information

NPI Number: 1760819676
Entity Type: Organization
Organization Name: Msa Alliance, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2013
Last Updated: Oct 9, 2013

Practice Location

Address: 4017 ILLINOIS ROUTE 159,
Address 2: SUITE 101
City: Smithton
State: Illinois
ZIP Code: 62285
Phone: (618) 257-2875

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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