Individual
ROBERT D FICALORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 SAINT MARYS DR # 300, EVANSVILLE, IN 47714-0511
(812) 485-5300
Mailing address
801 SAINT MARYS DR # 300, EVANSVILLE, IN 47714-0511
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01081089A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MED-PHY-LIC-28236
MT
207R00000X
Internal Medicine Physician
01081089A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01081089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305483700
—
MN
Enumeration date
01/12/2006
Last updated
06/21/2022
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