Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Vascular Surgery Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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