Basic Information
| Provider Information | |||||||||
| NPI: | 1255311106 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEELE | ||||||||
| FirstName: | PHILLIP | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3150 N MONTANA AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596027804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064225817 | ||||||||
| FaxNumber: | 4064225928 | ||||||||
| Practice Location | |||||||||
| Address1: | 3150 N MONTANA AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596027804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064225817 | ||||||||
| FaxNumber: | 4064225928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2006 | ||||||||
| LastUpdateDate: | 10/04/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | 11576 | MT | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 11576 | 01 | MT | MONTANA LICENSE # | OTHER | 000098986 | 01 | MT | BCBS OF MT | OTHER |