MEDICARE: DR. PETER P STEELE M.D.

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	207RC0000X	Cardiovascular Disease Physician	19186	CO
2	208M00000X	Hospitalist Physician	8767241-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8767241-1205	OTHER	UT	DOPL

General Provider Information

NPI Number	:	1306835186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER P STEELE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9677
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-9677
Country	:	US
Telephone Number	:	866-500-7071
Fax Number	:	866-500-7081

Provider Business Practice Location Address
First Line	:	3350 S 2940 E
Second Line	:	9677
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-3159
Country	:	US
Telephone Number	:	866-500-7071
Fax Number	:	866-500-7081

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

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	03/26/2015

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