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NPI Code Detail

MEDICARE: MCPHERSON MEDICAL & DIAGNOSTIC LLC

MEDICARE: MCPHERSON MEDICAL & DIAGNOSTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1952147662
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCPHERSON MEDICAL & DIAGNOSTIC LLC
Provider Business Mailing Address
First Line : 216 W MAIN ST
Second Line :
City : STEELE
State : MO
Zip : 63877-1436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 MCKAY ST
Second Line :
City : MACON
State : MO
Zip : 63552-2029
Country : US
Telephone Number : 660-385-3141
Fax Number : 660-385-5866
Authorized Official
Title or Position : OWNER
Name : ABDULLAH ARSHAD
Credential :
Telephone Number : 573-724-0083
Provider Enumeration Date : 07/02/2024
Last Update Date : 07/02/2024

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Directions to “MCPHERSON MEDICAL & DIAGNOSTIC LLC ” Practice Location

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