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NPI Code Detail

MEDICARE: JAMES D DECKER DO

MEDICARE: JAMES D DECKER DO
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
1207Q00000XFamily Medicine Physician05-24538KS

General Provider Information

NPI Number : 1295834950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES D DECKER DO
Provider Business Mailing Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6690
Fax Number : 620-694-4512
Provider Business Practice Location Address
First Line : 239 N BROADWAY AVE
Second Line :
City : STERLING
State : KS
Zip : 67579-1916
Country : US
Telephone Number : 620-278-2123
Fax Number : 620-278-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 09/07/2007

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