Organization
DIVINE LONGEVITY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHASHAYAR JOHN ARSHADI MD (OWNER)
(314) 514-5364
Entity
Organization
Contact information
Practice address
106 FOUR SEASONS SHOPPING CTR STE 110, CHESTERFIELD, MO 63017-3173
(314) 514-5364
Mailing address
106 FOUR SEASONS SHOPPING CTR STE 110, CHESTERFIELD, MO 63017-3173
(314) 514-5364
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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