Healthcare Provider Details

I. General information

NPI: 1568473122
Provider Name (Legal Business Name): ANDREW C STEELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 BELLEVUE AVE SUITE 400
SAINT LOUIS MO
63117-1818
US

IV. Provider business mailing address

6420 CLAYTON RD SUITE 290
SAINT LOUIS MO
63117-1811
US

V. Phone/Fax

Practice location:
  • Phone: 314-977-7455
  • Fax: 314-977-7477
Mailing address:
  • Phone: 314-781-1031
  • Fax: 314-781-2840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2003011621
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2003011621
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number2003011621
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: