Individual
AUSTIN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 ST. PAUL PLACE, EMERGENCY MEDICINE DEPT., BATLIMORE, MD 21202-2102
(410) 332-9809
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04841
MD
Other
Enumeration date
10/03/2012
Last updated
12/01/2014
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