Provider Demographics
NPI:1427161934
Name:STEFFAN, STEVE G (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:G
Last Name:STEFFAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S POPLAR ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-4500
Mailing Address - Country:US
Mailing Address - Phone:540-985-0597
Mailing Address - Fax:540-985-0598
Practice Address - Street 1:116 S POPLAR ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-4500
Practice Address - Country:US
Practice Address - Phone:540-985-0597
Practice Address - Fax:540-985-0598
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000734213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9330771Medicaid
VAT32449Medicare UPIN
VA9330771Medicaid