RUSSELL TODD IMBODEN

EUREKA, MO
NPI1033372784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QB0002X Family Medicine, Bariatric Medicine
(Licence: MO  R9H24)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
Dr. RUSSELL TODD IMBODEN D.O.
14 STOCKELL DR
EUREKA, MO 63025-1201
Phone number: 636-938-7600
Mailing Address
Dr. RUSSELL TODD IMBODEN D.O.
14 STOCKELL DR
EUREKA, MO 63025-1201
Phone number: 636-938-7600
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