MEDICARE: RICHARD E STEEL ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	85955	OK

General Provider Information

NPI Number	:	1205016151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD E STEEL ARNP

Provider Business Mailing Address
First Line	:	PO BOX 1207
Second Line	:	DEPT 5391
City	:	MILWAUKEE
State	:	WI
Zip	:	53201-1207
Country	:	US
Telephone Number	:	866-258-7963
Fax Number	:

Provider Business Practice Location Address
First Line	:	2334 SE WASHINGTON BLVD STE B&D
Second Line	:	PHYSICIANS IMMEDIATE CARE
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-7256
Country	:	US
Telephone Number	:	918-331-9184
Fax Number	:	918-331-9187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	11/12/2009

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