Individual
DR. JAY E DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
415 N APACHE AVE, WINSLOW, AZ 86047-3810
(928) 289-3451
Mailing address
415 N APACHE AVE, WINSLOW, AZ 86047-3810
(928) 289-3451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350028483
RAILROAD MEDICARE NUMBER
AZ
Enumeration date
08/20/2006
Last updated
07/08/2007
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