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Organization

PREMIER SPINE CARE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CICCARELLI (PRESIDENT)
(913) 322-2700
Entity
Organization

Contact information

Practice address
23351 PRAIRIE STAR PARKWAY, BUILDING A STE 275, LENEXA, KS 66227
(913) 322-2700
(913) 322-7890
Mailing address
PO BOX 26250, OVERLAND PARK, KS 66225-6250
(913) 322-2700
(913) 322-7890

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
05/03/2006
Last updated
04/19/2021
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