Gentry Thomas Decker, DO
Hospitalist in Muskogee, OK. Individual provider (NPI-1).
NPI number1861029761
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1861029761
- Entity type
- Individual (NPI-1)
- Name
- Gentry Thomas Decker
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2020
- Certification date
- Jul 17, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 7296 | OK | Yes |
Practice location
300 Rockefeller DrMuskogee, OK 74401-5075
Phone 918-502-1900 · Fax 918-494-6303
Mailing address
6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
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