Provider Demographics
NPI:1255311106
Name:STEELE, PHILLIP M (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:M
Last Name:STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3150 N MONTANA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7804
Mailing Address - Country:US
Mailing Address - Phone:406-422-5817
Mailing Address - Fax:406-422-5928
Practice Address - Street 1:3150 N MONTANA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7804
Practice Address - Country:US
Practice Address - Phone:406-422-5817
Practice Address - Fax:406-422-5928
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT11576207QS0010X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT11576OtherMONTANA LICENSE #
MT000098986OtherBCBS OF MT
MT000098986OtherBCBS OF MT
MT011001059Medicare PIN