Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

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

Organization Vascular Surgery Physician · NPI 1003295213

Msa Alliance, LLC Dba-Southern Illinois Vascular and Vein Surgery is a Vascular Surgery Physician in Maryville, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6810 State Route 162 Ste 100
Maryville, IL 62062
Phone: (618) 334-2425
Fax: (618) 222-1039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1003295213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Davis — Executive Director · (618) 257-4644
NPI enumeratedMay 20, 2015
Last updated in NPPESMay 20, 2015
Mailing address4500 Memorial Drive Credentialing Dept, Memorial Hospital Medical Affairs, Belleville, IL 62226

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