| NPI | 1376292318 |
|---|---|
| Doing Business As | PREMIER SPINE CARE OVERLAND PARK |
| Entity Type | Organization |
| Authorized Contact | JOHN M CICCARELLI Physician 913-322-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |