| Doctor Name: | DR. GEORGE BASHIR DECKEY |
| NPI Number: | 1457344681 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 21287 |
| Business Practice Address: | 2435 S Avenue A Suite B Yuma, AZ - 853647175 |
| Business Phone Number: | 9287265141 |
| Business Fax Number: | 9287262848 |
| Mailing Address: | Po Box 10, YUMA |
| State: | AZ |
| Postal Code: | 853660010 |
| Phone Number: | 9287265141 |
| Fax Number: | 9287262848 |
| NPI Enumeration Date: | 08/23/2005 |
| NPI Last Update Date: | 04/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/27/2006 |
| NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 21287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |