Organization · Type 2 NPI

Msa Alliance, LLC

Vascular Surgery Physician · Maryville, IL

NPI number 1801339965 Active

Practice location

2016 Vadalabene Dr, Suite B
Maryville, IL 62062-6901

Call (618) 222-1020 Map

Fax (618) 222-1039

Mailing address

4500 Memorial Drive, Memorial Hospital Medical Affairs Credentialing Dept
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.

11 other providers at this address

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About NPI 1801339965

Msa Alliance, LLC's National Provider Identifier is 1801339965, issued on Nov 22, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Maryville, IL. The record was last updated on Nov 22, 2016.