Individual
WILLIAM JOHN CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6011 E WOODMEN RD, SUITE 120, COLORADO SPRINGS, CO 80923-2603
(719) 574-8383
(719) 574-8548
Mailing address
6011 E WOODMEN RD, SUITE 120, COLORADO SPRINGS, CO 80923-2603
(719) 574-8383
(719) 574-8548
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16984
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01169846
—
CO
Enumeration date
06/30/2005
Last updated
09/12/2008
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