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Organization

MICHAEL DECKER, DO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DECKER DO (PHYSICIAN/OWNER)
(816) 896-1355
Entity
Organization

Contact information

Practice address
2725 E BROADWAY, LONG BEACH, CA 90803-5431
(562) 434-4494
Mailing address
565 PIER AVE, #1352, HERMOSA BEACH, CA 90254-8200
(816) 896-1355

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A13087
CA

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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