# MCPHERSON MEDICAL & DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Malden Family Clinic and Diagnostic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003407883
- **Authorized official:** TIMOTHY WILLIAM MCPHERSON DO (OWNER)
- **Authorized official phone:** (573) 695-2181

## Contact information

- **Practice address:** 1207 N DOUGLASS ST, MALDEN, MO 63863-1351
- **Practice address phone:** (573) 276-3884
- **Practice address fax:** (573) 276-3885
- **Mailing address:** PO BOX 12545, BELFAST, ME 04915-4016
- **Mailing address phone:** (573) 276-3884
- **Mailing address fax:** (573) 276-3885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021