Individual
MICHAEL EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NORTH BEAVER ST, FLAGSTAFF, AZ 86001-3200
(928) 774-1693
(928) 774-3533
Mailing address
1050 NORTH SAN FRANCISCO ST., STE D, FLAGSTAFF, AZ 86001-3200
(928) 774-1693
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412560
AHCCCS
—
Enumeration date
10/20/2006
Last updated
07/08/2007
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