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NPI Code Detail

MEDICARE: DR. NATHAN ALLEN DECKARD M.D.

MEDICARE:  DR. NATHAN ALLEN DECKARD  M.D.
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
1207Y00000XOtolaryngology PhysicianD86276MD
2207Y00000XOtolaryngology Physician4301090482MI

General Provider Information

NPI Number : 1558568857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN ALLEN DECKARD M.D.
Provider Business Mailing Address
First Line : 106 MILFORD STREET
Second Line : STE 101
City : SALISBURY
State : MD
Zip : 21804-6966
Country : US
Telephone Number : 410-742-1567
Fax Number : 410-742-1906
Provider Business Practice Location Address
First Line : 106 MILFORD STREET
Second Line : STE 101
City : SALISBURY
State : MD
Zip : 21804-6966
Country : US
Telephone Number : 410-742-1567
Fax Number : 410-742-1906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 12/16/2025

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Directions to “ DR. NATHAN ALLEN DECKARD M.D.” Practice Location

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