| Mcpherson Medical & Diagnostic, Llc | |
|
304 Teaco Rd Ste A Kennett MO 63857-3268 | |
| (573) 559-3591 | |
| (573) 559-3575 |
| Full Name | Mcpherson Medical & Diagnostic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 Teaco Rd Ste A, Kennett, Missouri |
| Authorized Official Name and Position | Timothy William Mcpherson (OWNER) |
| Authorized Official Contact | 5736952181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcpherson Medical & Diagnostic, Llc 901 W Commercial St Kennett MO 63857-1100 Ph: (573) 717-1072 | Mcpherson Medical & Diagnostic, Llc 304 Teaco Rd Ste A Kennett MO 63857-3268 Ph: (573) 559-3591 |
| NPI Number | 1184360273 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 5698773539 |
|---|---|
| Medicare Enrollment ID | O20220607002711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184360273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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