| Mcpherson Medical & Diagnostic, Llc | |
|
304 Teaco Rd Ste A Kennett MO 63857-3268 | |
| (573) 717-1072 | |
| Not Available |
| Full Name | Mcpherson Medical & Diagnostic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Teaco Rd Ste A, Kennett, Missouri |
| Authorized Official Name and Position | Amelia Doris Ledbetter (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5733354715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcpherson Medical & Diagnostic, Llc Po Box 12545 Belfast ME 04915-4016 Ph: () - | Mcpherson Medical & Diagnostic, Llc 304 Teaco Rd Ste A Kennett MO 63857-3268 Ph: (573) 717-1072 |
| NPI Number | 1124679774 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124679774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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