Provider Demographics
NPI:1457408817
Name:RISTIG, CHERYL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:RISTIG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:650 S CHERRY ST
Mailing Address - Street 2:SUITE 1060
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1813
Mailing Address - Country:US
Mailing Address - Phone:303-320-0909
Mailing Address - Fax:303-377-3849
Practice Address - Street 1:650 S CHERRY ST
Practice Address - Street 2:STE 1060
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1813
Practice Address - Country:US
Practice Address - Phone:303-320-0909
Practice Address - Fax:303-377-3849
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO278982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC76851Medicare PIN