Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Steele Lake Specialty PLLC

Organization Surgery Physician · NPI 1215716998

Steele Lake Specialty PLLC is a Surgery Physician in Idaho Falls, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 Channing Way Ste A206
Idaho Falls, ID 83404-7586
Phone: (208) 529-2230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1215716998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abra Wasia — Office Manager · (208) 529-2330
NPI enumeratedSeptember 22, 2023
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address3200 Channing Way Ste A206, Idaho Falls, ID 83404-7586

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