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135 South Main Gideon MO 63848-9253 | |
(573) 448-3800 | |
(573) 448-8909 |
Full Name | |
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Speciality | Family Medicine |
Location | 135 South Main, Gideon, Missouri |
Authorized Official Name and Position | Timothy William Mcpherson (OWNER) |
Authorized Official Contact | 5736952181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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135 Main Street Gideon MO 63848-9253 Ph: (573) 448-3800 | 135 South Main Gideon MO 63848-9253 Ph: (573) 448-3800 |
NPI Number | 1407919897 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/02/2007 |
Identifier | Type | State | Issuer |
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1407919897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R9E31 (Missouri) | Primary |