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1104801190
ALAN J DECKARD
SPRINGFIELD, IL
NPI
1104801190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-083428)
Enumeration Date
2005-12-13
Last Update Date
2009-06-22
Business Address
-- ALAN J DECKARD M.D.
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-0182
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Mailing Address
-- ALAN J DECKARD M.D.
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-0182
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