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NPI Code Detail

MEDICARE: DR. SCOTT RUSSELL STEELE M.D.

MEDICARE: DR. SCOTT RUSSELL 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
1208C00000XColon & Rectal Surgery Physician01052143AIN
2208600000XSurgery PhysicianMD00047574WA
3208C00000XColon & Rectal Surgery Physician35-125615OH

General Provider Information

NPI Number : 1407827793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT RUSSELL STEELE M.D.
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line : A30
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-4747
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line : A30
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 10/13/2016

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