{"npi":"1407970288","type":"NPI-2","status":"active","name":{"display":"St. Louis Center Of Preventitive & Longevity Medicine, LLC","other":[],"organization_name":"ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC","authorised_official":"Richard Bligh"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"MO","license":"MD102881"}]},"addresses":[{"purpose":"LOCATION","street_1":"1034 S BRENTWOOD BLVD","city":"SAINT LOUIS","state":"MO","postal_code":"631171223","country_code":"US","street_2":"SUITE 1060","phone":"3147210666","fax":"3147279612"},{"purpose":"MAILING","street_1":"1836 LACKLAND HILL PKWY","city":"SAINT LOUIS","state":"MO","postal_code":"631463572","country_code":"US","street_2":"ATTN CREDENTIALING DEPAT","phone":"3149890300"}],"license":{"state":"MO","number":"MD102881"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-19","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}