Individual
RICARDO H CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCARDO ST., STE 100, DURANGO, CO 81301-7306
(970) 385-7977
(970) 385-6727
Mailing address
1 MERCADO ST STE 100, DURANGO, CO 81301-7306
(970) 385-7977
(970) 385-6727
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
DR.0067681
CO
207RH0003X
Hematology & Oncology Physician
ME89846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272461800
—
FL
Enumeration date
03/24/2006
Last updated
01/05/2022
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