Healthcare Provider Details

I. General information

NPI: 1245213842
Provider Name (Legal Business Name): MARSHALL T. STEEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WELLINGTON AVE
GRAND JUNCTION CO
81501-6129
US

IV. Provider business mailing address

PO BOX 10700
GRAND JUNCTION CO
81502-5517
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-6011
  • Fax: 970-241-4650
Mailing address:
  • Phone: 970-254-2642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0028667
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: