Healthcare Provider Details

I. General information

NPI: 1275922791
Provider Name (Legal Business Name): MEGAN STEELE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 25TH ST S GASTRO CLINIC
GREAT FALLS MT
59405
US

IV. Provider business mailing address

1401 25TH ST S GASTRO CLINIC
GREAT FALLS MT
59405
US

V. Phone/Fax

Practice location:
  • Phone: 406-731-8888
  • Fax: 406-731-8318
Mailing address:
  • Phone: 406-731-8817
  • Fax: 406-731-8318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number91887
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: