NPI 1003027988

St. Louis Center for Preventive and Longevity Medicine, LLC

Organisation Internal Medicine Physician Saint Louis, MO

Practice location

Address: 777 S New Ballas Rd Suite 200 E, Saint Louis, MO 63141-8705
Phone: (314) 994-1536
Fax: (314) 692-0241

Authorised official

Name: Richard Allan Bligh
Title: Medical Director
Phone: (314) 994-1536

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 102881 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1003027988
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 27 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.