# DR. SCOTT MARTIN CIACCIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366608218
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 2638 | WV | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 2638 | WV | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 01/12/2021