Organization
CIACCIO MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLEO CIACCIO (PRESIDENT)
(309) 236-8075
Entity
Organization
Contact information
Practice address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(309) 236-8075
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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