Healthcare Provider Details

I. General information

NPI: 1417926676
Provider Name (Legal Business Name): WOMEN'S HEALTH ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E BROADWAY SUITE 100
COLUMBIA MO
65201-8020
US

IV. Provider business mailing address

1601 E BROADWAY SUITE 100
COLUMBIA MO
65201-8020
US

V. Phone/Fax

Practice location:
  • Phone: 573-443-8796
  • Fax: 573-875-3949
Mailing address:
  • Phone: 573-443-8796
  • Fax: 573-875-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID W MORETON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 573-443-8796