Individual
MATTHEW EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
Mailing address
1813 N CARROLL ST, CARROLL, IA 51401-3652
(712) 220-1018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D137864
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D137864
LICENSE
IA
Enumeration date
06/03/2015
Last updated
06/03/2015
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