ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE

SAINT LOUIS, MO
NPI1033487889
Entity TypeOrganization
Authorized ContactRICHARD BLIGH
Medical Director
413-994-1536
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE
777 S NEW BALLAS RD SUITE 200E
SAINT LOUIS, MO 63141-8705
Phone number: 413-994-1536
Mailing Address
ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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