Gary Lee Decker M.D.

NPI 1043274129 - Surgery - 208600000X

NPI Details
NPI 1043274129
Gender Male
Enumeration Date 04/14/2006
Last Updated 10/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1301 NE 1ST ST
PRYOR OK, 74361-8850, US
Phone (918) 824-7767
Fax (918) 824-6410
Business Location
1301 NE 1ST ST
PRYOR OK, 74361-8850, US
Phone (918) 824-7767
Fax (918) 824-6410
Toxanomy
Taxonomy Code 208600000X
License State Oklahoma
License Number 14290
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According to our database, Dr. Gary Lee Decker M.D. NPI is 1043274129, taxonomy code is 208600000X and license number is 14290, license state is located at Oklahoma. Gary Lee Decker M.D. physically located at 1301 Ne 1st St, Pryor OK, 74361-8850. NPI Number Gary Lee Decker M.D. has the Individual type.

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1043274129 NPI number is provided on an as is basis without warranty of any kind. 1043274129 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Lee Decker M.D. are for informational purposes only.