BENJAMIN EARLE

FORT LEONARD WOOD, MO
NPI1669017562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2019-11-14
Last Update Date2019-11-24
Business Address
BENJAMIN EARLE PA-C
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0035
Mailing Address
BENJAMIN EARLE PA-C
198 B LYLE CURTIS CIRCLE
WAYNESVILLE, MO 65583
Phone number:
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