Organization
THE YOUTHFUL BODY MEDICAL SPA
Active
Organization
THE YOUTHFUL BODY MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK FALCONER M.D. (MEDICAL DIRECTOR)
(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
69 BELLERIVE ACRES, SAINT LOUIS, MO 63121-4330
(314) 495-2700
(314) 389-6023
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
115456
MO
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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