MEDICARE: DR. PHILLIP M STEELE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	11576	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11576	OTHER	MT	MONTANA LICENSE #
2	000098986	OTHER	MT	BCBS OF MT

General Provider Information

NPI Number	:	1255311106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP M STEELE MD

Provider Business Mailing Address
First Line	:	3150 N MONTANA AVE
Second Line	:	SUITE A
City	:	HELENA
State	:	MT
Zip	:	59602-7804
Country	:	US
Telephone Number	:	406-422-5817
Fax Number	:	406-422-5928

Provider Business Practice Location Address
First Line	:	3150 N MONTANA AVE
Second Line	:	SUITE A
City	:	HELENA
State	:	MT
Zip	:	59602-7804
Country	:	US
Telephone Number	:	406-422-5817
Fax Number	:	406-422-5928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	10/04/2021

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