| The Youthful Body Medical Spa | |
|
10287 Clayton Rd Suite 200 Saint Louis MO 63124-1172 | |
| (314) 692-2639 | |
| (314) 692-2649 |
| Full Name | The Youthful Body Medical Spa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10287 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Erick Falconer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3146922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Youthful Body Medical Spa 69 Bellerive Acres Saint Louis MO 63121-4330 Ph: (314) 495-2700 | The Youthful Body Medical Spa 10287 Clayton Rd Suite 200 Saint Louis MO 63124-1172 Ph: (314) 692-2639 |
| NPI Number | 1447494133 |
|---|---|
| Provider Enumeration Date | 04/24/2009 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447494133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 115456 (Missouri) | Primary |
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