NPI 1033487889
St. Louis Center for Preventative and Longevity Medicine
Practice location
- Address
- 777 S New Ballas Rd Suite 200e, Saint Louis, MO 63141-8705
- Phone
- (413) 994-1536
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Richard Bligh
- Title
- Medical Director
- Phone
- (413) 994-1536
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1033487889
- Entity type
- Organization
- NPI issued
- 8 Dec 2011
- Record last updated
- 8 Dec 2011
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.