Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL D DEIDIKER, MD
ActiveAnatomic Pathology & Clinical Pathology · FARMINGTON, MO
Registration Details
- NPI Number
- 1841265345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2006 (20.1681974254 yrs)
- Last Updated
- Jul 8, 2007
- License
-
113238 (MO)
Practice Information
- Address
-
1212 WEBER RDSUITE 205FARMINGTON, MO, 636403325Browse MO providers · Browse ZIP 63640
- Phone
- 5737564581
- Fax
- 5737567197
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in FARMINGTON, MO
| Name | Credential | NPI |
|---|---|---|
| MUHAMMAD HANIF PATHAN | MD | 1326150301 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.