| Dr Jean Earl, DO | |
|
474 N Hwy 89, Chino Valley, AZ 86323 | |
| (928) 636-5680 | |
| (928) 636-5853 |
| Full Name | Dr Jean Earl |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 474 N Hwy 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235226218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3852 (Arizona) | Primary |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jean Earl, DO Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5987 | Dr Jean Earl, DO 474 N Hwy 89, Chino Valley, AZ 86323 Ph: (928) 636-5680 |
Cheryl R Ree, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Pete Banchuin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Dr. Scott S Ekdahl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 474 N Us Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 | |
Mr. Anthony Joseph Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 474 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 |