Individual
MS. HEATHER J EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
227 MEDICAL PARK DR STE 103, BRIDGEPORT, WV 26330-8421
(681) 342-3500
Mailing address
P O BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1659
WV
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/12/2012
Last updated
04/22/2019
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