ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC

SAINT LOUIS, MO
NPI1407970288
Entity TypeOrganization
Authorized ContactRICHARD A. BLIGH
Physician
314-721-0666
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  MD102881)
Enumeration Date2007-03-19
Last Update Date2020-08-22
Business Address
ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC
1034 S BRENTWOOD BLVD SUITE 1060
SAINT LOUIS, MO 63117-1223
Phone number: 314-721-0666
Mailing Address
ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC
1836 LACKLAND HILL PKWY ATTN CREDENTIALING DEPAT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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