Michael Joseph Decker MD

NPI 1174511406 - Anesthesiology - 207L00000X

NPI Details
NPI 1174511406
Gender Male
Enumeration Date 10/11/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1512 12TH AVE RD
NAMPA ID, 83686-6008, US
Phone (208) 461-2883
Fax (208) 461-2953
Business Location
PO BOX 1517
NAMPA ID, 83653-1517, US
Phone (208) 461-2883
Fax (208) 461-2953
Taxonomy Code 207L00000X
License State Idaho
License Number M7501
Remove 1174511406 NPI Number

According to our database, Dr. Michael Joseph Decker MD NPI is 1174511406, taxonomy code is 207L00000X and license number is M7501, license state is located at Idaho. Michael Joseph Decker MD physically located at 1512 12th Ave Rd, Nampa ID, 83686-6008. NPI Number Michael Joseph Decker MD has the Individual type.

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1174511406 NPI number is provided on an as is basis without warranty of any kind. 1174511406 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Joseph Decker MD are for informational purposes only.