Organization
VITALITY MEDICAL AND WELLNESS CONSULTING LLC
Active
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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