Robert Ciccarelli in Phoenix - Physician Assistant
Robert Ciccarelli - NPI 1104875939
Robert Ciccarelli is a Physician Assistant in Phoenix, Arizona. Robert Ciccarelli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Ciccarelli is 1104875939. The last update date is 2007-07-23.
Robert Ciccarelli's current location address is 4425 E Cotton Center Blvd, Phoenix, Arizona. You can contact this provider via phone number 6024529801 and fax number 6024529852. The mailing address for Robert Ciccarelli is 4425 E Cotton Center Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Ciccarelli |
|---|---|
| Address | 4425 E Cotton Center Blvd, Phoenix, Arizona |
| Phone Number | 6024529801 |
| Fax Number | 6024529852 |
| Sole Proprietor | N |
| Credentials | P.A |
NPI Number Detail
| NPI Number | 1104875939 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 4425 E Cotton Center Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850408854 |
| Phone Number | 6024529801 |
| Fax Number | 6024529852 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1323 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102559 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert Ciccarelli?
The Robert Ciccarelli has been issued the NPI (National Provider Identifier) 1104875939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robert Ciccarelli?
The Robert Ciccarelli is physically situated at 4425 E Cotton Center Blvd, in the city of Phoenix, state of AZ, with the postal code 850408854.
What is the area of specialization for Robert Ciccarelli, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Ciccarelli is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104875939 to Robert Ciccarelli?
The Robert Ciccarelli received its 1104875939 assignment from the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information pertaining to Robert Ciccarelli most recently updated or revised?
The details related to Robert Ciccarelli, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-23.