JENNIFER R DECKER

POUDRE VALLEY MEDICAL GROUP LLC

Dr JENNIFER R DECKER is a female medical professional, specializing in Otolaryngology. She graduated in 2007 from Duke University School Of Medicine.

Contact

POUDRE VALLEY MEDICAL GROUP LLC

16222 W US HWY 24 210
UCHMG WOODLAND PARK OUTREACH
WOODLAND PARK
CO
808638763

Tel: 7196301006

JENNIFER R DECKER Information

Npi 1013101146
Pac Id 2961639703
Professional Enrollment Id I20131226000517
Last Name DECKER
First Name JENNIFER
Middle Name R
Suffix
Gender F
Credential
Medical School Name DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Group Practice Pac Id 9638208549
Number Of Group Practice Members 1002
Line 1 Street Address 16222 W US HWY 24 210
Line 2 Street Address UCHMG WOODLAND PARK OUTREACH
Marker Of Address Line 2 Suppression
City WOODLAND PARK
State CO
Zip Code 808638763
Phone Number 7196301006
Hospital Affiliation Ccn 1 060022
Hospital Affiliation Lbn 1 UCH-MEMORIAL HEALTH SYSTEM
Hospital Affiliation Ccn 2 061326
Hospital Affiliation Lbn 2 PIKES PEAK REGIONAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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