Organization
ROBERT J SCIACCA MD PC
Active
Other names
Alabama ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATARA D POLLARD (OFFICE MANAGER)
(205) 985-7393
Entity
Organization
Contact information
Practice address
4515 SOUTHLAKE PKWY, STE 300, BIRMINGHAM, AL 35244-3317
(205) 985-7393
(205) 987-1332
Mailing address
4515 SOUTHLAKE PKWY, STE 300, BIRMINGHAM, AL 35244-3317
(205) 985-7393
(205) 987-1332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040004918
MCRRR
AL
05
—
118134
—
AL
01
—
167432400
OWCP
AL
01
—
51104671
BCBS
AL
Enumeration date
11/16/2010
Last updated
11/16/2010
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