Individual
DR. MATTHEW L EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17230 JACKSON CREEK PKWY STE 300, MONUMENT, CO 80132-7306
(719) 571-7000
(719) 571-7059
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0062857
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029054
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/30/2015
Last updated
07/02/2024
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