Provider Demographics
NPI:1700855921
Name:STEELY, DONALD E (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:STEELY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:525 WESTERN AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4967
Mailing Address - Country:US
Mailing Address - Phone:501-513-5337
Mailing Address - Fax:501-513-5338
Practice Address - Street 1:525 WESTERN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4967
Practice Address - Country:US
Practice Address - Phone:501-513-5337
Practice Address - Fax:501-513-5338
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC8309207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR126729001Medicaid
AR5J583Medicare ID - Type Unspecified
AR126729001Medicaid