Healthcare Provider Details

I. General information

NPI: 1700877115
Provider Name (Legal Business Name): WILLIAM MELVIN STEELY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 S MOUNT AUBURN RD
CAPE GIRARDEAU MO
63703-6387
US

IV. Provider business mailing address

1532 SLOAN CREEK DR
CAPE GIRARDEAU MO
63701-2645
US

V. Phone/Fax

Practice location:
  • Phone: 573-686-4151
  • Fax:
Mailing address:
  • Phone: 731-445-6972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number2001011234
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM0000000571
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: