Healthcare Provider Details

I. General information

NPI: 1255311106
Provider Name (Legal Business Name): PHILLIP M STEELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 10/04/2021
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N MONTANA AVE SUITE A
HELENA MT
59602-7804
US

IV. Provider business mailing address

3150 N MONTANA AVE SUITE A
HELENA MT
59602-7804
US

V. Phone/Fax

Practice location:
  • Phone: 406-422-5817
  • Fax: 406-422-5928
Mailing address:
  • Phone: 406-422-5817
  • Fax: 406-422-5928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number11576
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: