Individual
MR. PHILIP ANTHONY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 683-3720
(270) 686-7331
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 683-3720
(270) 686-7331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01056579A
IN
208600000X
Surgery Physician
Primary
37389
KY
2086S0129X
Vascular Surgery Physician
01056579A
IN
2086S0129X
Vascular Surgery Physician
37389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200386620
—
IN
05
—
64052632
—
KY
Enumeration date
07/29/2005
Last updated
11/02/2024
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