St. Louis Center for Preventative and Longevity Medicine
NPI #1033487889 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1033487889
- Entity Type
- Organization
- Organization Name
- St. Louis Center for Preventative and Longevity Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 8, 2011
- Last Updated
- Dec 8, 2011
Practice Location
- Address
- 777 S NEW BALLAS RD
- Address 2
- SUITE 200E
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-8705
- Phone
- (413) 994-1536
Authorized Official
- Name
- DR. RICHARD BLIGH, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (413) 994-1536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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