St. Louis Center for Preventive and Longevity Medicine, LLC
NPI #1003027988 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1003027988
- Entity Type
- Organization
- Organization Name
- St. Louis Center for Preventive and Longevity Medicine, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 24, 2007
- Last Updated
- Dec 27, 2007
Practice Location
- Address
- 777 S NEW BALLAS RD
- Address 2
- SUITE 200 E
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-8705
- Phone
- (314) 994-1536
Authorized Official
- Name
- DR. RICHARD ALLAN BLIGH, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (314) 994-1536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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