Organization
STEPHEN R STEELE DO INC
Active
Other names
ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R STEELE D.O. (PRESIDENT)
(760) 360-1433
Entity
Organization
Contact information
Practice address
78120 WILDCAT DR, PALM DESERT, CA 92211-1140
(760) 360-1433
(760) 360-5092
Mailing address
78120 WILDCAT DR, PALM DESERT, CA 92211-1140
(760) 360-1433
(760) 360-5092
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285632604
TYPE 1 NPI NUMBER
—
01
—
20A555
LICENSE
CA
Enumeration date
05/21/2007
Last updated
11/20/2008
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