Individual
DR. SHELBY WAYNE DECKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3230 E RIDGEVIEW, SPRINGFIELD, MO 65804
(417) 882-1822
(417) 882-7476
Mailing address
3230 E RIDGEVIEW, SPRINGFIELD, MO 65804
(417) 882-1822
(417) 882-7476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33472
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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