Provider Demographics
NPI:1285739623
Name:PIANTANIDA, ELIZABETH WINFIELD (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:WINFIELD
Last Name:PIANTANIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:WINFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 SOUTHPOINTE CT
Mailing Address - Street 2:STE 110
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3884
Mailing Address - Country:US
Mailing Address - Phone:719-228-9488
Mailing Address - Fax:719-424-4859
Practice Address - Street 1:640 SOUTHPOINTE CT
Practice Address - Street 2:STE 110
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3884
Practice Address - Country:US
Practice Address - Phone:719-228-9488
Practice Address - Fax:719-424-4859
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46621207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology