Msa Alliance, LLC

Urology Physician · Belleville, IL

Organization Active NPI

NPI number 1295049666

Practice location

4550 Memorial Dr
Ste 350
Belleville, IL 62226-5372
Phone
(618) 239-9690
Fax
(618) 239-9692

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NPI record

NPI
1295049666
Entity type
Organization (Type 2)
Enumeration date
July 28, 2010
Last updated
February 25, 2013
Organization subpart
Yes
Parent organization
Msa Alliance, LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X — —

Mailing address

4500 Memorial Dr
Medical 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 Urology Physician (code 208800000X). The practice location is 4550 Memorial Dr, Ste 350, Belleville, IL 62226-5372. The NPI number 1295049666 was assigned on July 28, 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 1295049666.

What is the phone number of Msa Alliance, LLC?

The phone number listed for the practice location is (618) 239-9690.

Where is Msa Alliance, LLC located?

4550 Memorial Dr, Ste 350, Belleville, IL 62226-5372.

What is the taxonomy code for Msa Alliance, LLC?

The primary taxonomy code is 208800000X – Urology 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.

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