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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