OrganizationActive
St. Louis Center for Preventative and Longevity Medicine
NPI 1033487889 · Non-Pharmacy Dispensing Site · Saint Louis, MO
Provider details
- NPI number
- 1033487889
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- St. Louis Center for Preventative and Longevity Medicine
- Organization subpart
- Yes
- Authorized official
- Richard Bligh, Medical Director(413) 994-1536
Specialties & taxonomies
Suppliers
Practice location
777 S New Ballas Rd
Suite 200e
Saint Louis, MO 63141-8705
Phone: (413) 994-1536
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.