Organization · Type 2 NPI

St. Louis Center of Preventitive & Longevity Medicine, LLC

Internal Medicine Physician · St. Louis, MO

NPI number 1407970288 Active

Practice location

1034 S Brentwood Blvd, Suite 1060
St. Louis, MO 63117-1223

Fax (314) 727-9612

Mailing address

1836 Lackland Hill Pkwy, Attn Credentialing Depat
St. Louis, MO 63146-3572

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XMD102881 (MO)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1407970288

St. Louis Center of Preventitive & Longevity Medicine, LLC's National Provider Identifier is 1407970288, issued on Mar 19, 2007. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.