| Mcpherson Medical & Diagnostic Llc | |
|
6810 Il-162 #20 Maryville IL 62062 | |
| (618) 288-2835 | |
| Not Available |
| Full Name | Mcpherson Medical & Diagnostic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6810 Il-162 #20, Maryville, Illinois |
| Authorized Official Name and Position | Abdullah Arshad (MD) |
| Authorized Official Contact | 5737240083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcpherson Medical & Diagnostic Llc 6810 Il-162 #20 Maryville IL 62062 Ph: (618) 288-2835 | Mcpherson Medical & Diagnostic Llc 6810 Il-162 #20 Maryville IL 62062 Ph: (618) 288-2835 |
| NPI Number | 1750064309 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 5698773539 |
|---|---|
| Medicare Enrollment ID | O20231002001635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750064309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gabriel Cardenas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043521719 PECOS PAC ID: 8426203191 Enrollment ID: I20140801001524 |
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