Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK GORDON EARLL, PAC
ActivePATRICK GORDON EARLL, PAC is a Physician Assistant healthcare provider located in WESTON, Wisconsin. NPI 1073611802 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WESTON, WI
Registration Details
- NPI Number
- 1073611802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.858459453145 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1329 (WI)
Practice Information
- Address
-
3501 CRANBERRY BLVDWESTON, WI, 54476Browse WI providers · Browse ZIP 54476
- Phone
- 7158473542
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WESTON, WI
| Name | Credential | NPI |
|---|---|---|
| ANA C HOLLIDAY | PA | 1548294887 |
| JEFFERY A POOLE | PAC | 1336258466 |
| DALE STURM | PA | 1437257276 |
| THOMAS HUMPHREY | PA | 1275623423 |
| KALI L. STORM | PA | 1235209503 |
| MRS. MICHELE RAE FEDERICI | PA-C | 1043495955 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.