Individual
PEYTON GRACE MORRIS RISTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 451-5093
Mailing address
287 LONE OAK DR, SOMERSET, KY 42503-3720
(606) 594-3788
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
05/27/2025
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