Healthcare Provider Details

I. General information

NPI: 1770701898
Provider Name (Legal Business Name): DAVID HAWKES STEINER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 S 6TH ST
LEESVILLE LA
71446-4442
US

IV. Provider business mailing address

135 COUNTRY CLUB TER
LEESVILLE LA
71446-2950
US

V. Phone/Fax

Practice location:
  • Phone: 337-392-2330
  • Fax: 337-392-2580
Mailing address:
  • Phone: 337-238-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD.06170R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: