Individual
DR. ANTHONY H DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 762-1908
(602) 263-1637
Mailing address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
(928) 289-0049
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
5101007766
MI
207P00000X
Emergency Medicine Physician
5101007766
MI
207Q00000X
Family Medicine Physician
5101007766
MI
207QA0000X
Adolescent Medicine (Family Medicine) Physician
5101007766
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
5101007766
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
5101007766
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
5101007766
MI
208VP0000X
Pain Medicine Physician
5101007766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460212
—
AZ
01
—
AZ0713420
BCBS
AZ
Enumeration date
08/30/2006
Last updated
02/18/2026
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