Healthcare Provider Details

I. General information

NPI: 1891784831
Provider Name (Legal Business Name): CRAIG ALAN LOERZEL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1163
US

IV. Provider business mailing address

1080 ALLEGHENY DR
COLORADO SPRINGS CO
80919-1504
US

V. Phone/Fax

Practice location:
  • Phone: 719-741-6113
  • Fax: 833-450-6109
Mailing address:
  • Phone: 719-232-5713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0043249
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: