Russell Todd Imboden in Eureka - Obesity Medicine
Russell Todd Imboden - NPI 1033372784
Russell Todd Imboden is a Obesity Medicine in Eureka, Missouri. Russell Todd Imboden practices all healthcare services and medical treatments related to Obesity Medicine. The NPI Number for Russell Todd Imboden is 1033372784. The last update date is 2008-07-02.
Russell Todd Imboden's current location address is 14 Stockell Dr, Eureka, Missouri. You can contact this provider via phone number 6369387600 and fax number 6369387602. The mailing address for Russell Todd Imboden is 14 Stockell Dr, Eureka, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Todd Imboden |
|---|---|
| Address | 14 Stockell Dr, Eureka, Missouri |
| Phone Number | 6369387600 |
| Fax Number | 6369387602 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1033372784 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 14 Stockell Dr |
|---|---|
| City | Eureka |
| State | Missouri (MO) |
| Post Code | 630251201 |
| Phone Number | 6369387600 |
| Fax Number | 6369387602 |
Provider's Primary Taxonomy Detail
| Speciality | Obesity Medicine |
|---|---|
| Taxonomy | 207Qb0002X |
| Licence No | R9H24 |
|
Definition: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 242531325 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Russell Todd Imboden by the Centers for Medicare & Medicaid Services?
The Russell Todd Imboden has been assigned the NPI (National Provider Identifier) 1033372784 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Russell Todd Imboden is physically located?
The Russell Todd Imboden is situated at the following address: 14 Stockell Dr, Eureka, MO 630251201.
What is Russell Todd Imboden's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Todd Imboden's specialized field of practice is Obesity Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qb0002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033372784 to Russell Todd Imboden?
The Centers for Medicare & Medicaid Services assigned the 1033372784 to Russell Todd Imboden on 2008-07-02.
When was the information regarding Russell Todd Imboden most recently updated?
The details pertaining to the Russell Todd Imboden, including its address, specialty, and other relevant information, were last refreshed on 2008-07-02.
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