Individual
ELEANOR VONSTADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E MAIN ST, SUITE 101, ASPEN, CO 81611-1780
(970) 925-4141
Mailing address
1450 E VALLEY RD, STE 201, BASALT, CO 81621-8304
(970) 927-1757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34942
NE
207X00000X
Orthopaedic Surgery Physician
43708
CO
207X00000X
Orthopaedic Surgery Physician
MD2006-0631
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810808202
PHCS
—
01
—
10029070
LOVELACE
—
01
—
202011781
PRESBYTERIAN HEALTH PLANS
—
01
—
2643467
UHC
—
05
—
29636256
—
NM
01
—
NM001Q09
BCBS NM
NM
01
—
QMYPR0073325
MOLINA
—
Enumeration date
11/02/2006
Last updated
08/05/2022
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