Organization
INTEGRATED MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL LIBERMAN DC (MANAGER)
(314) 374-3408
Entity
Organization
Contact information
Practice address
6155 S GRAND BLVD STE 140, SAINT LOUIS, MO 63111-2319
(314) 526-6093
Mailing address
6155 S GRAND BLVD STE 140, SAINT LOUIS, MO 63111-2319
(314) 526-6093
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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