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Organization
MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Active
Organization
MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA DORIS LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 335-4715
Entity
Organization
Contact information
Practice address
304 TEACO RD STE A, KENNETT, MO 63857-3268
(573) 717-1072
Mailing address
PO BOX 12545, BELFAST, ME 04915-4016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
09/25/2019
Last updated
06/12/2023
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