NPI 1003137662

Oa Associates, LLC

Organisation Orthopaedic Surgery Physician O Fallon, IL

Practice location

Address: 800 E Highway 50, O Fallon, IL 62269-2844
Phone: (618) 234-9884
Fax: (618) 235-9020
Mailing address: 4500 Memorial Dr Medical Affairs Credentialing Dept, Belleville, IL 62226-5360

Authorised official

Name: James B. Davis
Title: Executive Director
Phone: (618) 257-4644

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Illinois →

Registry record

NPI: 1003137662
Entity type: Organization
NPI issued: 17 Jun 2010
Record last updated: 22 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.