Organization · Type 2 NPI

Msa Alliance, LLC Dba-Southern Illinois Vascular and Vein Surgery

Vascular Surgery Physician · Maryville, IL

NPI number 1003295213 Active

Practice location

6810 State Route 162, Suite 100
Maryville, IL 62062

Call (618) 334-2425 Map

Fax (618) 222-1039

Mailing address

4500 Memorial Drive Credentialing Dept, Memorial Hospital Medical Affairs
Belleville, IL 62226

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

27 other providers at this address

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About NPI 1003295213

Msa Alliance, LLC Dba-Southern Illinois Vascular and Vein Surgery's National Provider Identifier is 1003295213, issued on May 20, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Maryville, IL. The record was last updated on May 20, 2015.