Healthcare Provider Details

I. General information

NPI: 1700331444
Provider Name (Legal Business Name): MORGAN ASHER RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E BROADWAY BOONE HOSPITAL CENTER NUTRITION AND FOOD SERVICE
COLUMBIA MO
65201-5844
US

IV. Provider business mailing address

1600 E BROADWAY BOONE HOSPITAL CENTER NUTRITION & FOOD SERVICE
COLUMBIA MO
65201-5844
US

V. Phone/Fax

Practice location:
  • Phone: 573-815-3733
  • Fax: 573-815-6414
Mailing address:
  • Phone: 573-815-3733
  • Fax: 573-815-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2014023825
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: