Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Medical Group, LLC

Organization General Practice Physician · NPI 1265327076

Integrated Medical Group, LLC is a General Practice Physician in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6155 S Grand Blvd Ste 140
Saint Louis, MO 63111-2319
Phone: (314) 526-6093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1265327076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Liberman — Manager · (314) 374-3408
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address6155 S Grand Blvd Ste 140, Saint Louis, MO 63111-2319

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