Individual
JOSEPH B EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7615 W THUNDERBIRD RD STE 105, PEORIA, AZ 85381-6083
(623) 878-5800
(623) 878-5807
Mailing address
7615 W THUNDERBIRD RD STE 105, PEORIA, AZ 85381-6083
(623) 878-5800
(623) 878-5807
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173018
—
AZ
01
—
3592
STATE LICENSE
AZ
Enumeration date
01/04/2007
Last updated
05/23/2014
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