Individual
DR. JACK R STEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 1ST AVE, SUITE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-4316
Mailing address
2828 1ST AVE, SUITE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-4316
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14019
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0570734
—
OH
01
—
1699732214
GROUP NPI
WV
Enumeration date
04/27/2006
Last updated
10/22/2012
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