Healthcare Provider Details

I. General information

NPI: 1912821679
Provider Name (Legal Business Name): LIMB PRESERVATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD BLDG 1 SUITE 2000 PMB 1201
DENVER CO
80222-7900
US

IV. Provider business mailing address

2000 S COLORADO BLVD BLDG 1 SUITE 2000 PMB 1201
DENVER CO
80222-7900
US

V. Phone/Fax

Practice location:
  • Phone: 515-422-2829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JACKSON THOMAS CROUGH
Title or Position: OWNER
Credential:
Phone: 515-422-2829