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Organization

DR. DAVID EARL, MD INC. PS

Active
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Organization

DR. DAVID EARL, MD INC. PS

Active
Other names
Dr. David Earl, MD Inc PS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID EARL MD (MD)
(509) 765-1538
Entity
Organization

Contact information

Practice address
1550 S PIONEER WAY, SUITE 200, MOSES LAKE, WA 98837-4613
(509) 765-1538
(509) 765-7508
Mailing address
1550 S PIONEER WAY, SUITE 200, MOSES LAKE, WA 98837-4613
(509) 765-1538
(509) 765-7508

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
MD00028611
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0174366
DEPT OF L&I
WA
05
7117575
WA
Enumeration date
10/10/2006
Last updated
01/08/2018
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