NPI 1053711895

Msa Alliance, LLC

Organisation Vascular Surgery Physician Maryville, IL

Practice location

Address: 2133 Vadalabene Dr Suite 2, Maryville, IL 62062-5839
Phone: (618) 222-1020
Fax: (618) 222-1039
Mailing address: 4500 Memorial Drive Memorial Hospital Medical Affairs, Belleville, IL 62226

Authorised official

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

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in Illinois →

Registry record

NPI: 1053711895
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 2014

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.