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DR. GARY LEE DECKER M.D.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043274129

Individual Registrant:
DR. GARY LEE DECKER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1301 NE 1ST ST  PRYOR, OK 74361-8850 US
Tel: 918-824-7767  Fax: 918-824-6410

Contact information for business:
1301 NE 1ST ST  PRYOR, OK 74361-8850 US
Tel: 918-824-7767  Fax: 918-824-6410

Registration Information:
NPI: 1043274129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
OK14290

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200039950AOK05
100194650AOK05




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