Basic Information
| Provider Information | |||||||||
| NPI: | 1205016151 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEEL | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1207 | ||||||||
| Address2: | DEPT 5391 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532011207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662587963 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2334 SE WASHINGTON BLVD STE B&D | ||||||||
| Address2: | PHYSICIANS IMMEDIATE CARE | ||||||||
| City: | BARTLESVILLE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740067256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183319184 | ||||||||
| FaxNumber: | 9183319187 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2007 | ||||||||
| LastUpdateDate: | 11/12/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 85955 | OK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.