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Individual
DR. ROURKE DOUGLAS DECKER
Active
Individual
DR. ROURKE DOUGLAS DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
83221
SC
207Q00000X
Family Medicine Physician
Primary
OS023818
PA
208600000X
Surgery Physician
83221
SC
208D00000X
General Practice Physician
83221
SC
Other
Enumeration date
09/11/2019
Last updated
09/11/2026
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