NPI 1215716998

Steele Lake Specialty PLLC

Organisation Surgery Physician Idaho Falls, ID

Practice location

Address: 3200 Channing Way STE A206, Idaho Falls, ID 83404-7586
Phone: (208) 529-2230

Authorised official

Name: Abra Wasia
Title: Office Manager
Phone: (208) 529-2330

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1215716998
Entity type: Organization
NPI issued: 22 Sep 2023
Record last updated: 17 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.