| Msa Alliance, Llc | |
|
830 Admiral Weinel Blvd Columbia IL 62236-1992 | |
| (618) 281-7373 | |
| (618) 281-6463 |
| Full Name | Msa Alliance, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Admiral Weinel Blvd, Columbia, 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 Drive Memorial Hospital Medical Affairs Credentialing Dept Belleville IL 62226 Ph: (618) 257-4644 | Msa Alliance, Llc 830 Admiral Weinel Blvd Columbia IL 62236-1992 Ph: (618) 281-7373 |
| NPI Number | 1396172201 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396172201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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