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Russell Imboden, D.O

NPI 1033372784 · on the registry since 2008 · sole proprietor

Practice

Address
14 Stockell Dr
Eureka, MO 63025
Phone
(636) 938-7600
Fax
(636) 938-7602

Registry record

Primary taxonomy
207QB0002X
207QB0002X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri