Provider Demographics
NPI:1902270093
Name:FRENCH, STEVEN PIRTLE (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PIRTLE
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:MOOSE
Mailing Address - State:WY
Mailing Address - Zip Code:83012-0340
Mailing Address - Country:US
Mailing Address - Phone:307-699-0479
Mailing Address - Fax:
Practice Address - Street 1:6605 N SNAKE RIVER WOODS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8491
Practice Address - Country:US
Practice Address - Phone:307-699-0479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3068A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine