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THE YOUTHFUL BODY INC. NPI 1346576709


NPI Information

NPI: 1346576709
Provider Name: THE YOUTHFUL BODY, INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
10287 CLAYTON RD
SUITE 200
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 692-2639
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THE YOUTHFUL BODY, INC. is a medical specialty clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). THE YOUTHFUL BODY, INC. NPI is 1346576709. The provider is registered as an organization entity type.

The provider's business location address is:

10287 CLAYTON RD
SUITE 200
SAINT LOUIS, MO
ZIP 63124-172
Phone: (314) 692-2639
Fax: (314) 692-2649

The provider's authorized official is Erick Falconer .
The authorized official title is President and has the following contact phone number (314) 692-2639.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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