# DR. ROBERT E DECK JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386655967
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD.014148 | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD.014148 | LA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 04/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0689219 | AETNA | LA |
| 05 | — | 1309320 | — | LA |
| 01 | — | 160008291 | RAILROAD MEDICARE | LA |
| 01 | — | 4367221000 | BLUE CROSS | LA |
| 01 | — | 721152574 | TAX IDENTIFICATION | LA |