NPI 1265327076

Integrated Medical Group, LLC

Organisation General Practice Physician Saint Louis, MO

Practice location

Address: 6155 S Grand Blvd STE 140, Saint Louis, MO 63111-2319
Phone: (314) 526-6093

Authorised official

Name: Mitchell Liberman
Title: Manager
Phone: (314) 374-3408

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Missouri →

Registry record

NPI: 1265327076
Entity type: Organization
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 2025

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.