Individual
DANIEL B DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 232-5215
(870) 232-5240
Mailing address
PO BOX 2443, MOUNTAIN HOME, AR 72654-2443
(870) 232-5215
(870) 232-5240
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-6412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188791001
—
AR
01
—
BP1-0026522
INSTITUTIONAL PERMIT
—
Enumeration date
06/09/2007
Last updated
08/13/2024
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