Msa Alliance, LLC

Nephrology Physician · Belleville, IL

Organization Active NPI

NPI number 1699089060

Practice location

4550 Memorial Dr
Ste 410
Belleville, IL 62226-5372
Phone
(618) 234-8246
Fax
(618) 234-8271

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NPI record

NPI
1699089060
Entity type
Organization (Type 2)
Enumeration date
July 28, 2010
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 4550 Memorial Dr, Ste 410, Belleville, IL 62226-5372. The NPI number 1699089060 was assigned on July 28, 2010 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 1699089060.

What is the phone number of Msa Alliance, LLC?

The phone number listed for the practice location is (618) 234-8246.

Where is Msa Alliance, LLC located?

4550 Memorial Dr, Ste 410, Belleville, IL 62226-5372.

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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