# MCPHERSON MEDICAL & DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164440806
- **Authorized official:** DR. TIMOTHY WILLIAM MCPHERSON D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (573) 695-2181

## Contact information

- **Practice address:** 216 W MAIN ST, STEELE, MO 63877-1436
- **Practice address phone:** (573) 695-2181
- **Practice address fax:** (573) 695-2796
- **Mailing address:** PO BOX 12545, BELFAST, ME 04915-4016
- **Mailing address phone:** (573) 448-3800
- **Mailing address fax:** (573) 448-8909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R9E31 | MO | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 06/12/2023
