Organization · Type 2 NPI

Msa Alliance, LLC

Vascular Surgery Physician · Belleville, IL

NPI number 1063728038 Active

Practice location

4600 Memorial Dr, Ste 240
Belleville, IL 62226-5368

Call (618) 222-1020 Map

Fax (618) 222-1039

Mailing address

4500 Memorial Dr, Medical Affairs Credentialing Department
Belleville, IL 62226-5360

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.

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About NPI 1063728038

Msa Alliance, LLC's National Provider Identifier is 1063728038, issued on Aug 27, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Belleville, IL. The record was last updated on Feb 22, 2013.