| NPI | 1528254166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THADDEUS DECKER Owner/Authorized Official 520-886-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2019-01-09 |