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1033510284
MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
BELLEVILLE, IL
NPI
1033510284
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Entity Type
Organization
Authorized Contact
JAMES B. DAVIS
Executive Director
618-257-4644
Organization Subpart ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
4600 MEMORIAL DR SUITE120
BELLEVILLE, IL 62226-5368
Phone number: 618-222-1020
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Mailing Address
MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
4500 MEMORIAL DRIVE MEMORIAL HOSPITAL MEDICAL AFFAIRS
BELLEVILLE, IL 62226
Phone number: 618-257-4644
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