| Msa Alliance, Llc | |
|
4550 Memorial Dr Ste A-480 Belleville IL 62226-5372 | |
| (618) 222-1020 | |
| (618) 222-1039 |
| Full Name | Msa Alliance, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4550 Memorial Dr, Belleville, Illinois |
| Authorized Official Name and Position | James B Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6182574644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msa Alliance, Llc 4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 Ph: (618) 257-4644 | Msa Alliance, Llc 4550 Memorial Dr Ste A-480 Belleville IL 62226-5372 Ph: (618) 222-1020 |
| NPI Number | 1528372992 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528372992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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