Provider Demographics
NPI:1306007521
Name:VIALPANDO, CHRISTOPHER GERARD (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GERARD
Last Name:VIALPANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 INDIANA AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-3572
Mailing Address - Country:US
Mailing Address - Phone:719-566-9120
Mailing Address - Fax:719-566-9121
Practice Address - Street 1:916 INDIANA AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-3572
Practice Address - Country:US
Practice Address - Phone:719-566-9120
Practice Address - Fax:719-566-9121
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine