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Contact Information

CRISANTO GUALBERTO, MD
106 W STATE STREET
VANDALIA, MO63382
 Phone: 573-594-6208
 Fax: 573-594-6780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CRISANTO GUALBERTO · (Male)

NPI # 1043285398
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 12/06/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R6651
Hospital affiliation(s)
  • AUDRAIN MEDICAL CENTER - (Acute Care)
    620 E MONROE
    MEXICO, MO 65265
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • HANNIBAL REGIONAL HOSPITAL - (Acute Care)
    6000 HOSPITAL DR
    HANNIBAL, MO 63401
  • PIKE COUNTY MEMORIAL HOSPITAL - (Critical Access)
    2305 WEST GEORGIA STREET
    LOUISIANA, MO 63353
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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