Organization · Type 2 NPI
St. Louis Center of Preventitive & Longevity Medicine, LLC
Internal Medicine Physician · St. Louis, MO
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
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician Primary | 207R00000X | MD102881 (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.