| Msa Alliance | |
|
4600 Memorial Dr Ste 325 Belleville IL 62226-5368 | |
| (618) 236-6501 | |
| (618) 236-6551 |
| Full Name | Msa Alliance |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4600 Memorial Dr, Belleville, Illinois |
| Authorized Official Name and Position | James B Davis (VP MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 6182576302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msa Alliance Po Box 24035 Belleville IL 62223-9035 Ph: (618) 222-9999 | Msa Alliance 4600 Memorial Dr Ste 325 Belleville IL 62226-5368 Ph: (618) 236-6501 |
| NPI Number | 1316251788 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316251788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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