Individual provider · Type 1 NPI

Scott Joseph Cicciarelli Jr.

Surgical Physician Assistant · Peoria, IL

NPI number 1801485271 Active

Practice location

6000 N Allen Rd
Peoria, IL 61614-3294

Fax (309) 693-3197

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085008908 (IL)

Surgical Physician Assistant: Definition to come...

54 other providers at this address

Other surgical physician assistant providers in Peoria

See all in Peoria →

About NPI 1801485271

Scott Joseph Cicciarelli Jr.'s National Provider Identifier is 1801485271, issued on Jan 11, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Peoria, IL. The record was last updated on Jun 13, 2022.