NPI 1053480897

Colorectal Surgery PA

Organisation Colon & Rectal Surgery Physician Shawnee Mission, KS

Practice location

Address: 8901 W 74th St #148, Shawnee Mission, KS 66204
Phone: (913) 831-1900
Fax: (913) 831-1999

Authorised official

Name: William Carmen Cirocco
Title: Owner
Phone: (913) 831-1900

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0424933 (KS)

Other Colon & Rectal Surgery providers in Kansas →

Colon & Rectal Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 105102 (MO)

Registry record

NPI: 1053480897
Entity type: Organization
NPI issued: 7 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.