Organization
PREMIER SPINE CARE, P.A.
Active
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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