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

St Louis Center for Preventive and Longevity Medicine, LLC

Organization Internal Medicine Physician · NPI 1003027988

St Louis Center for Preventive and Longevity Medicine, LLC is an Internal Medicine Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

777 S New Ballas Rd Ste 200 E
Saint Louis, MO 63141-8705
Phone: (314) 994-1536
Fax: (314) 692-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 102881 (MO)

Record details

NPI number1003027988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Bligh — Medical Director · (314) 994-1536
NPI enumeratedMay 24, 2007
Last updated in NPPESDecember 27, 2007
Mailing address777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141-8705

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