| 4ever-young | |
|
11716 Studt Ave Creve Coeur MO 63141-7018 | |
| (314) 330-8117 | |
| Not Available |
| Full Name | 4ever-young |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11716 Studt Ave, Creve Coeur, Missouri |
| Authorized Official Name and Position | Alina Mccann (OWNER) |
| Authorized Official Contact | 3147530476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4ever-young 11716 Studt Ave Creve Coeur MO 63141-7018 Ph: (314) 330-8117 | 4ever-young 11716 Studt Ave Creve Coeur MO 63141-7018 Ph: (314) 330-8117 |
| NPI Number | 1215643622 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215643622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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