Individual
ERIC DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1885 MARKET ST, WARREN, PA 16365-1227
(814) 723-1832
Mailing address
514 W 3RD AVE, WARREN, PA 16365-2201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058791
PA
Other
Enumeration date
01/04/2017
Last updated
01/12/2017
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