Organization
GARY L. DECKER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L. DECKER MD (PHYSICIAN)
(918) 599-8200
Entity
Organization
Contact information
Practice address
1809 E 13TH ST, #400, TULSA, OK 74104-4431
(918) 599-8200
(918) 587-1767
Mailing address
1809 E 13TH ST, #400, TULSA, OK 74104-4431
(918) 599-8200
(918) 587-1767
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14290
OK
Other
Enumeration date
07/06/2007
Last updated
03/31/2008
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