Organization
VITALITY MEDICAL AND WELLNESS CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LODEN MD (CEO)
(314) 335-9151
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD STE 215B, SAINT LOUIS, MO 63131-2323
(314) 695-8525
Mailing address
639 AMBERWOOD LN, BALLWIN, MO 63021-5888
(314) 335-9151
(256) 292-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
05/03/2021
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