Provider Demographics
NPI:1740857457
Name:STEUBE, ALAN WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:WILLIAM
Last Name:STEUBE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-8221
Mailing Address - Country:US
Mailing Address - Phone:636-755-4400
Mailing Address - Fax:636-755-4401
Practice Address - Street 1:2223 TECHNOLOGY DR STE 40
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7272
Practice Address - Country:US
Practice Address - Phone:636-755-4400
Practice Address - Fax:636-755-4401
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023029620207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty