Provider Demographics
NPI:1225352255
Name:STEELE, BRANDON CORY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:CORY
Last Name:STEELE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 MILWAUKEE ST STE 240
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-7360
Mailing Address - Country:US
Mailing Address - Phone:314-822-1001
Mailing Address - Fax:
Practice Address - Street 1:1099 MILWAUKEE ST STE 240
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-7360
Practice Address - Country:US
Practice Address - Phone:314-822-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010009082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor