| Organization Name: | MSA ALLIANCE, LLC |
| NPI Number: | 1043523269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA K. MCDONALD (CREDENTIALING DEPARTMENT) |
| Mailing Address: | 800 E Highway 50 O Fallon |
| State: | IL US |
| Postal Code: | 622692844 |
| Phone Number: | 6186287560 |
| Fax Number: | 6186287667 |
| NPI Enumeration Date: | 07/16/2010 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 036123259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |