Organization
MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Active
Other names
Hayti Medical & Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WILLIAM MCPHERSON (CEO)
(573) 695-2181
Entity
Organization
Contact information
Practice address
223 S 3RD ST, HAYTI, MO 63851-1617
(573) 717-1072
Mailing address
PO BOX 12545, BELFAST, ME 04915-4016
(573) 717-1072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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