IndividualActive
Abigail Crisostomo, MD
NPI 1720347867 · Family Medicine Physician · Rolla, MO
Provider details
- NPI number
- 1720347867
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2012003234 (MO)
Practice location
1605 Martin Springs Dr
Ste 210
Rolla, MO 65401-2931
Phone: (573) 458-6326
Fax: (573) 458-6763
Mailing address
Po Box 2580
Springfield, MO 65801-2580
Registry dates
- Enumerated
- 2012-05-10
- Last updated
- 2012-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.