Provider Demographics
NPI:1346464237
Name:STEINAGLE, GORDON CHRISTOPHER (MPH,DO)
Entity Type:Individual
Prefix:DR
First Name:GORDON
Middle Name:CHRISTOPHER
Last Name:STEINAGLE
Suffix:
Gender:M
Credentials:MPH,DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5811
Mailing Address - Country:US
Mailing Address - Phone:716-692-6541
Mailing Address - Fax:716-692-7091
Practice Address - Street 1:51 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-5811
Practice Address - Country:US
Practice Address - Phone:716-692-6541
Practice Address - Fax:716-692-7091
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177914-12083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine