Individual
ROBERT JAMES MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3115
Mailing address
250 N SHADELAND AVE, SUITE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 217-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01066967A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200982970
—
IN
Enumeration date
06/30/2008
Last updated
06/22/2015
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