Healthcare Provider Details

I. General information

NPI: 1982013082
Provider Name (Legal Business Name): SPRINGS MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PRINTERS PKWY STE 230
COLORADO SPRINGS CO
80910-6102
US

IV. Provider business mailing address

155 PRINTERS PKWY STE 230
COLORADO SPRINGS CO
80910-6102
US

V. Phone/Fax

Practice location:
  • Phone: 719-694-9856
  • Fax: 719-418-3578
Mailing address:
  • Phone: 719-694-9856
  • Fax: 719-418-3578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number43961
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number43961
License Number StateCO

VIII. Authorized Official

Name: FRANCIS F JOSEPH
Title or Position: OWNER
Credential:
Phone: 719-694-9856