IndividualActive
Crisanto Gualberto, M.D.
NPI 1043285398 · General Practice Physician · Vandalia, MO
Provider details
- NPI number
- 1043285398
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- R6651 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
106 W State Street
Vandalia, MO 63382
Phone: (573) 594-6208
Fax: (573) 594-6780
Approximate (ZIP-level) locationGet directions
Mailing address
106 W State Street
Vandalia, MO 63382-1239
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2010-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.