Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1707 N Doulgas, Malden, Missouri |
Authorized Official Name and Position | Sue Ann Williams (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 5736241640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 368 Dexter MO 63841 Ph: (573) 624-3165 | 1707 N Doulgas Malden MO 63863 Ph: (573) 276-6488 |
NPI Number | 1346301504 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346301504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Mcpherson Medical & Diagnostic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 N Douglass St, Malden, MO 63863 Phone: 573-276-3884 Fax: 573-276-3885 | |