Individual
GABRIELLA K. DECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
67
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090083
BCBS PIN
MT
01
—
0432820
MDCD PIN
MT
01
—
100080200
MDCD PIN
WY
Enumeration date
09/01/2006
Last updated
12/03/2014
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