NPI 1003171323

Heather J Earl, PAC

Practitioner Physician Assistant Bridgeport, WV

Practice location

Address: 227 Medical Park Dr STE 103, Bridgeport, WV 26330-8421
Phone: (681) 342-3500
Mailing address: P O Box 780, Morgantown, WV 26507-0780

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1659 (WV)

Other Physician Assistant providers in West Virginia →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Registry record

NPI: 1003171323
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2012
Record last updated: 22 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.