Wellformed AI

NPI 1801313846 · live from the CMS NPI Registry

Sarah Scroggs Buckallew, RD, LD

Dietitian, Registered in Columbia, MO. National Provider Identifier 1801313846, active.

NPI record

NPI1801313846 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location1204 Rogers St Ste D, Columbia, MO 65201
Practice phone573-268-6846
Mailing address3800 Addison Dr, Columbia, MO 65203
EnumeratedAugust 29, 2017
Last updatedAugust 29, 2017
Sole proprietorNo
Other namesSarah Scroggs

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X2010011061 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.