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MR. ROBERT LEE STEELE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1757 HIGHWAY 178 W STE A, MYRTLE, MS 38650-9233
(662) 988-7041
Mailing address
404 GLENHAVEN DR, NEW ALBANY, MS 38652-2425
(662) 471-1805

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA00396
MS
363AM0700X
Medical Physician Assistant
Primary
PA00396
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01950520
MS
Enumeration date
10/15/2018
Last updated
07/18/2022
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