# THE YOUTHFUL BODY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346576709
- **Authorized official:** DR. ERICK FALCONER M.D. (PRESIDENT)
- **Authorized official phone:** (314) 692-2639

## Contact information

- **Practice address:** 10287 CLAYTON RD, SUITE 200, SAINT LOUIS, MO 63124-1172
- **Practice address phone:** (314) 692-2639
- **Practice address fax:** (314) 692-2649
- **Mailing address:** 10287 CLAYTON ROAD, SUITE 200, LADUE, MO 63124-1172
- **Mailing address phone:** (314) 692-2639
- **Mailing address fax:** (314) 692-2649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009