# SICARD SURGICAL SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790168250
- **Authorized official:** MITCHEL E SICARD CSA (PRESIDENT/CSA)
- **Authorized official phone:** (240) 543-5182

## Contact information

- **Practice address:** 5257 BUCKEYSTOWN PIKE, \#244, FREDERICK, MD 21704-7535
- **Practice address phone:** (240) 543-5182
- **Mailing address:** 2904 WHITE OAK ST, HIGHLANDS RANCH, CO 80129-4641
- **Mailing address phone:** (240) 543-5182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 09/04/2015