Individual
ROBERT JAMES SCIACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 SOUTHLAKE PARKWAY, SUITE 300, BIRMINGHAM, AL 35244
(205) 985-7393
(205) 987-1332
Mailing address
4515 SOUTHLAKE PARKWAY, SUITE 300, BIRMINGHAM, AL 35244
(205) 985-7393
(205) 987-1332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
08954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082846
—
AL
01
—
040004918
MCRRR
AL
01
—
167432400
OWCP
AL
01
—
51082846
BCBS
AL
01
—
51534513
BCBS
AL
01
—
630967865
TAX ID
AL
Enumeration date
10/04/2006
Last updated
11/04/2010
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