Healthcare Provider Details

I. General information

NPI: 1538176391
Provider Name (Legal Business Name): JOSEPH C STEELE III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 01/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18317 US HWY 90
ROBERTSDALE AL
36567
US

IV. Provider business mailing address

PO BOX 850489
MOBILE AL
36685-0489
US

V. Phone/Fax

Practice location:
  • Phone: 251-947-2000
  • Fax: 251-947-5399
Mailing address:
  • Phone: 251-342-3949
  • Fax: 251-631-3361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00008541
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: