Individual
ROBERT M ALALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-2410
(314) 821-1833
Mailing address
PO BOX 3153 DEPT 30755, BIRMINGHAM, AL 35287-9283
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R7629
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112315
HEALTHLINK
MO
01
—
140376000
DEPT OF LABOR
—
01
—
1600251
UHC
—
01
—
1765
BCBS
MO
05
—
201196136
—
MO
01
—
431142188OSU
MERCY
—
01
—
4964V4964
GHP
—
01
—
P00133934
TRAVELERS
—
Enumeration date
12/05/2005
Last updated
12/17/2021
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