Provider Demographics
NPI:1245289768
Name:STEELE, WILLIAM ALEXANDER (PA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:STEELE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1381 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:PATRICK AFB
Mailing Address - State:FL
Mailing Address - Zip Code:32925-3606
Mailing Address - Country:US
Mailing Address - Phone:321-494-8159
Mailing Address - Fax:321-494-3648
Practice Address - Street 1:1381 S PATRICK DR
Practice Address - Street 2:
Practice Address - City:PATRICK AFB
Practice Address - State:FL
Practice Address - Zip Code:32925-3606
Practice Address - Country:US
Practice Address - Phone:321-494-8159
Practice Address - Fax:321-494-3648
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN10000767A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN037170H3Medicare ID - Type Unspecified
INP76821Medicare UPIN