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

St Louis Center of Preventitive & Longevity Medicine, LLC

Organization Internal Medicine Physician · NPI 1407970288

St Louis Center of Preventitive & 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

1034 S Brentwood Blvd Ste 1060
Saint Louis, MO 63117-1223
Phone: (314) 721-0666
Fax: (314) 727-9612
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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 MD102881 (MO)

Record details

NPI number1407970288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Bligh — Physician · (314) 721-0666
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1836 Lackland Hill Pkwy, Attn Credentialing Depat, Saint Louis, MO 63146-3572

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