NPI 1043285398

Crisanto Gualberto, MD

Practitioner General Practice Physician Vandalia, MO

Practice location

Address: 106 W State Street, Vandalia, MO 63382
Phone: (573) 594-6208
Fax: (573) 594-6780
Mailing address: 106 W State Street, Vandalia, MO 63382-1239

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence R6651 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1043285398
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2006
Record last updated: 6 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.