Msa Alliance, LLC

Nephrology Physician · Breese, IL

Organization Active NPI

NPI number 1477893972

Practice location

9515 Holy Cross Ln
Suite 3
Breese, IL 62230-3618
Phone
(618) 526-8585

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NPI record

NPI
1477893972
Entity type
Organization (Type 2)
Enumeration date
February 20, 2013
Last updated
February 26, 2013
Organization subpart
Yes
Parent organization
Msa Alliance, LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nephrology Physician Primary 207RN0300X — —

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 Nephrology Physician (code 207RN0300X). The practice location is 9515 Holy Cross Ln, Suite 3, Breese, IL 62230-3618. The NPI number 1477893972 was assigned on February 20, 2013 and the record was last updated on February 26, 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 1477893972.

What is the phone number of Msa Alliance, LLC?

The phone number listed for the practice location is (618) 526-8585.

Where is Msa Alliance, LLC located?

9515 Holy Cross Ln, Suite 3, Breese, IL 62230-3618.

What is the taxonomy code for Msa Alliance, LLC?

The primary taxonomy code is 207RN0300X – Nephrology 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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