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Organization
PATRICIA DECKER, M.D., INC.
Active
Organization
PATRICIA DECKER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DECKER M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
1000 TRANCAS ST, NAPA, CA 94558-2906
(707) 252-4411
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G77402
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G77402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ30734Z
MEDICARE NORTHERN
CA
Enumeration date
03/29/2006
Last updated
09/18/2007
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