Individual
DR. SAMUEL F CIRICILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 L ST, SUITE 500, SACRAMENTO, CA 95816-5616
(916) 454-6850
(916) 454-6852
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G62844
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
G62844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G628440
—
CA
Enumeration date
08/20/2006
Last updated
07/28/2015
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