Provider Demographics
NPI:1164446324
Name:CRIBBS, HEATHER D (DO)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:CRIBBS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:D
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8080 PARK MEADOWS DR.
Mailing Address - Street 2:
Mailing Address - City:LONE TREET
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2558
Mailing Address - Country:US
Mailing Address - Phone:303-346-8828
Mailing Address - Fax:303-346-0407
Practice Address - Street 1:8080 PARK MEADOWS DR.
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2558
Practice Address - Country:US
Practice Address - Phone:918-258-9111
Practice Address - Fax:918-251-9339
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0052172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine