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Organization

MCPHERSON MEDICAL & DIAGNOSTIC, LLC

Active
Parent organization
MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Other names
McPherson Medical and Diagnostic, LLC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/02/2009
Last updated
06/12/2023
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