# MCPHERSON MEDICAL & DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCPHERSON MEDICAL & DIAGNOSTIC, LLC
- **Other names:** Gideon Medical Center-MMD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497189864
- **Legal business name:** MCPHERSON MEDICAL & DIAGNOSTIC, LLC
- **Authorized official:** PAULA J ANDERSON (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (573) 695-2181

## Contact information

- **Practice address:** 100 N MAIN ST, GIDEON, MO 63848-9253
- **Practice address phone:** (573) 448-3800
- **Mailing address:** PO BOX 12545, BELFAST, ME 04915-4016
- **Mailing address phone:** (573) 448-3800

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 10/03/2019