Individual
DR. DONALD EDMOND DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1029
(805) 778-1513
Mailing address
415 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1029
(805) 778-1513
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
101962
CA
Other
Enumeration date
04/17/2007
Last updated
02/24/2014
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