Healthcare Provider Details

I. General information

NPI: 1457291924
Provider Name (Legal Business Name): MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 MCKAY ST
MACON MO
63552-2029
US

IV. Provider business mailing address

307 MCKAY ST
MACON MO
63552-2029
US

V. Phone/Fax

Practice location:
  • Phone: 660-385-3141
  • Fax: 660-385-5866
Mailing address:
  • Phone: 660-385-3141
  • Fax: 660-385-5866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDULLAH ARSHAD
Title or Position: MD, OWNER
Credential:
Phone: 573-724-0083