Healthcare Provider Details

I. General information

NPI: 1679548895
Provider Name (Legal Business Name): FREDERICK ARTHUR STECKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIRCLE, BUILDING 7500
FT. CARSON CO
80913-4604
US

IV. Provider business mailing address

250 IVYBROOK LN
COLORADO SPRINGS CO
80906-7221
US

V. Phone/Fax

Practice location:
  • Phone: 719-529-7982
  • Fax: 719-526-7978
Mailing address:
  • Phone: 719-576-2004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number42090
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: