Individual
GENTRY THOMAS DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
7296
OK
Other
Enumeration date
03/23/2020
Last updated
07/17/2023
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