Healthcare Provider Details

I. General information

NPI: 1629074588
Provider Name (Legal Business Name): BARBARA J. STEELE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 NORTH AVE
RICHMOND VA
23222-3647
US

IV. Provider business mailing address

2809 NORTH AVE
RICHMOND VA
23222-3647
US

V. Phone/Fax

Practice location:
  • Phone: 804-780-0840
  • Fax: 804-780-0862
Mailing address:
  • Phone: 804-780-0840
  • Fax: 804-780-0862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101254162
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: