Healthcare Provider Details

I. General information

NPI: 1083768394
Provider Name (Legal Business Name): SPRINGS ANESTHESIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 MEDICAL CENTER PT
COLORADO SPRINGS CO
80907-5788
US

IV. Provider business mailing address

PO BOX 76510
COLORADO SPRINGS CO
80970-6510
US

V. Phone/Fax

Practice location:
  • Phone: 719-636-3555
  • Fax: 719-635-7750
Mailing address:
  • Phone: 719-638-8844
  • Fax: 719-638-8115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES EDWARD ROLLMAN
Title or Position: OWNER
Credential: M.D.
Phone: 719-636-3555