Provider Demographics
NPI:1568591253
Name:CHRISTOFF, ANTHONY JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JAMES
Last Name:CHRISTOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 N CASCADE AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3289
Mailing Address - Country:US
Mailing Address - Phone:719-471-9891
Mailing Address - Fax:719-471-4493
Practice Address - Street 1:715 N CASCADE AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3289
Practice Address - Country:US
Practice Address - Phone:719-471-9891
Practice Address - Fax:719-471-4493
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84000881Medicaid
COC02302Medicare PIN
COG29409Medicare UPIN