Individual
DONALD L DECOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 MERCY DR NW, CANTON, OH 44708
(330) 489-1454
(330) 430-6913
Mailing address
1330 MERCY DR NW, CANTON, OH 44708
(330) 489-1454
(330) 430-6913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95-00881
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-058942
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
95-00881
NC
207RP1001X
Pulmonary Disease Physician
Primary
35-058942
OH
207RP1001X
Pulmonary Disease Physician
95-00881
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35-058942
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928079
—
NC
Enumeration date
07/17/2006
Last updated
05/16/2012
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