Russell Todd Imboden D.O.

NPI 1033372784 - Family Medicine - 207QB0002X

NPI Details
NPI 1033372784
Gender Male
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
14 STOCKELL DR
EUREKA MO, 63025-1201, US
Phone (636) 938-7600
Fax (636) 938-7602
Business Location
14 STOCKELL DR
EUREKA MO, 63025-1201, US
Phone (636) 938-7600
Fax (636) 938-7602
Toxanomy
Taxonomy Code 207QB0002X
License State Missouri
License Number R9H24
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According to our database, Dr. Russell Todd Imboden D.O. NPI is 1033372784, taxonomy code is 207QB0002X and license number is R9H24, license state is located at Missouri. Russell Todd Imboden D.O. physically located at 14 Stockell Dr, Eureka MO, 63025-1201. NPI Number Russell Todd Imboden D.O. has the Individual type.

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1033372784 NPI number is provided on an as is basis without warranty of any kind. 1033372784 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Todd Imboden D.O. are for informational purposes only.