EDUARD RASPUTKOV, Adult Medicine KIRKSVILLE, MO

Contact Information

EDUARD RASPUTKOV

800 W JEFFERSON ST
KIRKSVILLE, MO 63501-1443

Phone: 660-626-2121
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for EDUARD RASPUTKOV · (Male)

NPI #	`1912400763`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/16/2018
Last updated	05/15/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	MO License # 2023029983
Hospital affiliation(s)	Not Available

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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