Msa Alliance, LLC
Plastic and Reconstructive Surgery Physician · Belleville, IL
Practice location
4600 Memorial DrSte 320
Belleville, IL 62226-5368
- Phone
- (618) 257-2100
- Fax
- (618) 257-2169
NPI record
- NPI
- 1194033704
- Entity type
- Organization (Type 2)
- Enumeration date
- September 16, 2010
- Last updated
- February 25, 2013
- Organization subpart
- Yes
- Parent organization
- Msa Alliance, LLC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X |
— | — |
Mailing address
4500 Memorial DrMedical Affairs Credentialing Department
Belleville, IL 62226-5360
- Phone
- (618) 257-4644
- Fax
- (618) 257-6946
Authorized official
- Name
- James B. Davis
- Title
- Executive Director
- Phone
- (618) 257-4644
About Msa Alliance, LLC
Msa Alliance, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 4600 Memorial Dr, Ste 320, Belleville, IL 62226-5368. The NPI number 1194033704 was assigned on September 16, 2010 and the record was last updated on February 25, 2013.
The authorized official for this organization is James B. Davis, Executive Director.
Frequently asked questions
What is the NPI number of Msa Alliance, LLC?
The NPI number is 1194033704.
What is the phone number of Msa Alliance, LLC?
The phone number listed for the practice location is (618) 257-2100.
Where is Msa Alliance, LLC located?
4600 Memorial Dr, Ste 320, Belleville, IL 62226-5368.
What is the taxonomy code for Msa Alliance, LLC?
The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.