Provider Demographics
NPI:1689200867
Name:CIANCUTTI, ARTHUR ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ROBERT
Last Name:CIANCUTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9351 N HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:MENDOCINO
Mailing Address - State:CA
Mailing Address - Zip Code:95460-9770
Mailing Address - Country:US
Mailing Address - Phone:707-937-2144
Mailing Address - Fax:
Practice Address - Street 1:9351 N HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MENDOCINO
Practice Address - State:CA
Practice Address - Zip Code:95460-9770
Practice Address - Country:US
Practice Address - Phone:707-937-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine