Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 11576 | MT |
NPI | 1255311106 |
---|---|
Provider Name | Dr. Phillip M Steele |
First Address | Helena, MT 59602-7804 |
Second Address | Helena, MT 59602-7804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 04/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000098986 | BCBS OF MT (01) | MT |
11576 | MONTANA LICENSE # (01) | MT |
H19360 | (02) |