| Ciaccio Medical, P.c. | |
|
1401 W Central Park Ave Davenport IA 52804-1707 | |
| (309) 236-8075 | |
| Not Available |
| Full Name | Ciaccio Medical, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1401 W Central Park Ave, Davenport, Iowa |
| Authorized Official Name and Position | John Cleo Ciaccio (PRESIDENT) |
| Authorized Official Contact | 3092368075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ciaccio Medical, P.c. 1441 W Central Park Ave Davenport IA 52804-1707 Ph: () - | Ciaccio Medical, P.c. 1401 W Central Park Ave Davenport IA 52804-1707 Ph: (309) 236-8075 |
| NPI Number | 1043481179 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043481179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
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