Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PIANTANIDA M.D. (DCCS)
(719) 526-5231
Entity
Organization
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-5231
Mailing address
6818 SASSER DR APT A, COLORADO SPRINGS, CO 80902-4340
(719) 559-5642
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
678319
TX
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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