Individual
DR. NICHOLAS ALFRED PIANTANIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
(719) 365-1307
Mailing address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4646
(719) 776-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0050399
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
200301159
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
50399
CO
Other
Enumeration date
11/21/2005
Last updated
02/11/2019
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