| Doctor Name: | DR. RUSSELL TODD IMBODEN |
| NPI Number: | 1033372784 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | R9H24 |
| Business Practice Address: | 14 Stockell Dr Eureka, MO - 630251201 |
| Business Phone Number: | 6369387600 |
| Business Fax Number: | 6369387602 |
| Mailing Address: | 14 Stockell Dr, EUREKA |
| State: | MO |
| Postal Code: | 630251201 |
| Phone Number: | 6369387600 |
| Fax Number: | 6369387602 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QB0002X |
| License Number: | R9H24 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Bariatric Medicine |
| Taxonomy Definition: | Bariatric medicine is the medical treatment of obesity and its associated conditions. Bariatric medicine addresses the obese individual with a comprehensive program of diet, exercise and behavior modification, and when indicated, the prescription of appropriate medications as determined by the Bariatric physician. Bariatric physicians are licensed physicians who offer specialized programs in the medical treatment of obesity and its associated conditions. |