Provider Demographics
NPI:1548010408
Name:STEELE, BRIAN LEE
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:LEE
Last Name:STEELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 TARBY RD
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-5504
Mailing Address - Country:US
Mailing Address - Phone:918-647-2155
Mailing Address - Fax:
Practice Address - Street 1:1120 TARBY RD
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-5504
Practice Address - Country:US
Practice Address - Phone:918-647-2155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist