Healthcare Provider Details
I. General information
NPI: 1043002223
Provider Name (Legal Business Name): SPRINGS JOINT & SPINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
595 CHAPEL HILLS DR STE 245
COLORADO SPRINGS CO
80920-1056
US
IV. Provider business mailing address
590 SUN HILLS DR
COLORADO SPRINGS CO
80921-2708
US
V. Phone/Fax
- Phone: 303-790-1800
- Fax: 303-790-1809
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOUGLAS
CROWTHER
Title or Position: SURGEON
Credential: DO
Phone: 719-580-1162