Healthcare Provider Details

I. General information

NPI: 1316334931
Provider Name (Legal Business Name): DAVID A ASHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LEE HWY N
PULASKI VA
24301-2326
US

IV. Provider business mailing address

2013 JEFFERSON ST SW FL 2
ROANOKE VA
24014-2419
US

V. Phone/Fax

Practice location:
  • Phone: 888-678-0622
  • Fax: 540-994-8568
Mailing address:
  • Phone: 540-982-0237
  • Fax: 540-982-2719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number0101269023
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: