Individual
TANYA K DECKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7105
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7105
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434738
—
IA
Enumeration date
02/23/2006
Last updated
07/08/2007
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