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Eduard Rasputkov
Adult Medicine Physician in Kirksville, Missouri
NPI 1912400763

Eduard Rasputkov is an Adult Medicine Physician based in Kirksville, MO and is specialized in Adult Medicine. Eduard Rasputkov practices in Kirksville, MO. The NPI Number for Eduard Rasputkov is 1912400763 and holds a License No. 2023029983 (Missouri).

The current practice location address for Eduard Rasputkov is 800 W Jefferson St, Kirksville, MO and can be reached out via phone at 660-626-2121.

Location: 800 W Jefferson St, Kirksville, MO, 63501-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912400763
Provider Name
Eduard Rasputkov
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 W Jefferson St, Kirksville, MO, 63501-1367
Phone Number
660-626-2121
Fax Number
Provider Enumeration Date
03/16/2018
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
660-626-2121
Fax Number
person
Provider Business Mailing Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
660-626-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
2023029983 (Missouri)
Definition
Definition to come.
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