Provider Demographics
NPI:1992427942
Name:PIEHL, ELIZABETH SUZANNE
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUZANNE
Last Name:PIEHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10861 ROWLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-9638
Mailing Address - Country:US
Mailing Address - Phone:763-746-6471
Mailing Address - Fax:
Practice Address - Street 1:665 N MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80915-3405
Practice Address - Country:US
Practice Address - Phone:719-596-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0024160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist