Basic Information
| Provider Information | |||||||||
| NPI: | 1457411324 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEELE | ||||||||
| FirstName: | LOIS | ||||||||
| MiddleName: | GENELL FISTER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9221 E BASELINE RD | ||||||||
| Address2: | SUITE A109 617 | ||||||||
| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852098310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669589633 | ||||||||
| FaxNumber: | 4803574639 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 TILBURY DRIVE | ||||||||
| Address2: | |||||||||
| City: | KEARNY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203635573 | ||||||||
| FaxNumber: | 5203635611 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 16206 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 4421 | ND | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.