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Dr. Randolph Roy Decker, DC
Chiropractor in Excelsior Springs, Missouri
NPI 1548253156

Randolph Roy Decker is a Chiropractor based in Excelsior Springs, MO. Randolph Roy Decker practices in Excelsior Springs, MO and has the professional credentials of DC. The NPI Number for Randolph Roy Decker is 1548253156 and holds a License No. 5147 (Missouri).

The current practice location address for Randolph Roy Decker is 1000 N Jesse James Rd, Excelsior Springs, MO and can be reached out via phone at 816-630-6211 and via fax at 816-630-6211.

Location: 1000 N Jesse James Rd, Excelsior Springs, MO, 64024-9754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548253156
Provider Name
Randolph Roy Decker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1000 N Jesse James Rd, Excelsior Springs, MO, 64024-9754
Phone Number
816-630-6211
Fax Number
816-630-6211
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO0058846 01 MO RAILROAD MEDICARE
12330027 01 MO BLUE CROSS BLUE SHIELD KC
4400182 01 MO UNITED HEALTH CARE
4401828 01 MO AETNA
532434 01 KS KANSAS BLUE CROSS
2032917 01 MO CIGNA
000 05 MO
T73784 01 MO HUMANA
institution
Provider Business Practice Location Address Details
Address
1000 N Jesse James Rd
City
Excelsior Springs
State
Missouri
Zip
64024-1244
Phone Number
816-630-6211
Fax Number
816-630-6211
person
Provider Business Mailing Address Details
Address
1000 N Jesse James Rd
City
Excelsior Springs
State
Missouri
Zip
64024-1244
Phone Number
816-630-6211
Fax Number
816-630-6211
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5147 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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