Individual
DR. ROBERT E DECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4720 S. I-10 SERVICE RD. W, SUITE 206, METAIRIE, LA 70001-1240
(504) 455-7999
(504) 455-7920
Mailing address
4720 S. I-10 SERVICE RD. W, SUITE 206, METAIRIE, LA 70001-1240
(504) 455-7999
(504) 455-7920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD.014148
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.014148
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0689219
AETNA
LA
05
—
1309320
—
LA
01
—
160008291
RAILROAD MEDICARE
LA
01
—
4367221000
BLUE CROSS
LA
01
—
721152574
TAX IDENTIFICATION
LA
Enumeration date
08/10/2006
Last updated
04/19/2017
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