Organization
THE YOUTHFUL BODY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK FALCONER M.D. (PRESIDENT)
(314) 692-2639
Entity
Organization
Contact information
Practice address
10287 CLAYTON RD, SUITE 200, SAINT LOUIS, MO 63124-1172
(314) 692-2639
(314) 692-2649
Mailing address
10287 CLAYTON ROAD, SUITE 200, LADUE, MO 63124-1172
(314) 692-2639
(314) 692-2649
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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