Individual
MARJORIE CRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2390 MAIN AVENUE, DURANGO HIGH SCHOOL, DURANGO, CO 81301
(970) 946-2712
Mailing address
281 SAWYER DR STE 100, DURANGO, CO 81303-3409
(970) 259-2162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34342
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X750
BCBS OF NEW MEXICO
—
05
—
01343425
—
CO
01
—
080170038
TRAVELERS MEDICARE
—
01
—
201018475
PRESBYTERIAN HEALTH PLAN
—
01
—
84070694599
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
8407094577
PACIFICARE
CO
01
—
CR34638
ANTHEM BCBS
CO
01
—
E8545
NEW MEXICO MEDICAID
—
01
—
T0835
MEDICAID OF UTAH
—
Enumeration date
10/11/2005
Last updated
06/10/2013
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