Provider Demographics
NPI:1952327280
Name:STEELE, ELIZABETH H (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:STEELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-6101
Mailing Address - Country:US
Mailing Address - Phone:541-779-7331
Mailing Address - Fax:541-779-3522
Practice Address - Street 1:1170 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6101
Practice Address - Country:US
Practice Address - Phone:541-779-7331
Practice Address - Fax:541-779-3522
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD15674207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR040006062OtherRAILROAD MEDICARE
OR044235Medicaid
OR044235Medicaid
F30924Medicare UPIN