RUSSELL D DEIDIKER

FARMINGTON, MO
NPI1841265345
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO  113238)
Enumeration Date2006-02-20
Last Update Date2007-07-08
Business Address
Dr. RUSSELL D DEIDIKER MD
1212 WEBER RD SUITE 205
FARMINGTON, MO 63640-3325
Phone number: 573-756-4581
Mailing Address
Dr. RUSSELL D DEIDIKER MD
312 LOUISE ST
FARMINGTON, MO 63640-2706
Phone number: 573-756-4581
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