A Larry Boulware MD PC
A Larry Boulware MD PC is a Primary Care Clinic/Center in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2011.
- Licensed in
- VA
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6330 Five Mile Centre Park Ste 400Fredericksburg, VA 22407-5516
Phone: (540) 548-2284
Fax: (540) 548-2961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 0101236689 (VA) |
|---|
Record details
| NPI number | 1427355288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alfred Boulware — Internist - Owner · (540) 548-2284 |
| NPI enumerated | February 14, 2011 |
| Last updated in NPPES | February 14, 2011 |
| Mailing address | 6330 Five Mile Centre Park Ste 400, Fredericksburg, VA 22407-5516 |
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