Individual
MOLLY E DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 352-4121
Mailing address
525 SAGE AVE, GREELEY, CO 80634-9396
(515) 229-3506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52180
CO
390200000X
Student in an Organized Health Care Education/Training Program
R8395
IA
Other
Enumeration date
08/21/2008
Last updated
10/24/2014
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