THE YOUTHFUL BODY MEDICAL SPA
Ambulatory Health at Clayton Rd, Saint Louis, MO

License number
Missouri 115456
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: ERICK FALCONER M.D.
Title: MEDICAL DIRECTOR
Phone: (314) 692-2639
Address
Address
10287 Clayton Rd SUITE 200, Saint Louis, MO 63124
National Provider ID: 1447494133
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE YOUTHFUL BODY MEDICAL SPA at bizstanding.com

THE YOUTHFUL BODY, INC

Saint Louis, MO

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
THE YOUTHFUL BODY<br>Specilists In Gastroenterology, The Youthful Body Medical Spa
Registration:
May 4, 2006
Inactive since:
Jul 20, 2011
Site:
theyouthfulbody.com
Phone:
(314) 692-2639 (Phone)
Addresses:
10287 Clayton Rd SUITE 200, Saint Louis, MO 63124 (Physical)
104 W County Ctr, Saint Louis, MO 63131
State ID:
00736119
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
President & Ceo, Owner, Board of Directors, President, Member, Medical Director, Medical Doctors:
Tony Lewis (Office Manager),Barbara Becker (Director),Erick Falconer President & Ceo, Owner, Board of Directors, President, Member, Medical Director, Medical Doctor, inactive
Agent:
(Secretary Of State),600 W Main St, Jefferson City, MO 65102 (Physical)
Categories:
Physicians & Surgeons - Cosmetic, Plastic & Reconstructive Surgery, Physicians & Surgeons - Medical-M.D.

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