Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL TODD IMBODEN, D.O.
Active Sole ProprietorDR. RUSSELL TODD IMBODEN, D.O. is a Obesity Medicine healthcare provider located in EUREKA, Missouri. NPI 1033372784 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · EUREKA, MO
Registration Details
- NPI Number
- 1033372784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2008 (18.147001763242 yrs)
- Last Updated
- Jul 2, 2008
- License
-
R9H24 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 STOCKELL DREUREKA, MO, 630251201Browse MO providers · Browse ZIP 63025
- Phone
- 6369387600
- Fax
- 6369387602
- Primary Specialty
-
Obesity Medicine
207QB0002X
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.