# MCPHERSON MEDICAL & DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCPHERSON MEDICAL & DIAGNOSTIC, LLC
- **Other names:** McPherson Medical and Diagnostic, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679706956
- **Legal business name:** MCPHERSON MEDICAL & DIAGNOSTIC, LLC
- **Authorized official:** DR. TIMOTHY W MCPHERSON DO (OWNER)
- **Authorized official phone:** (573) 695-2181

## Contact information

- **Practice address:** 901 W COMMERCIAL ST, KENNETT, MO 63857-1100
- **Practice address phone:** (573) 717-1072
- **Practice address fax:** (573) 717-1529
- **Mailing address:** PO BOX 12545, BELFAST, ME 04915-4016
- **Mailing address phone:** (573) 717-1072
- **Mailing address fax:** (573) 717-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 06/12/2023