Mr. Larry E Witham, PHYSICIANASSISTANT
Mr. Larry E Witham, PHYSICIANASSISTANT is a Medical Physician Assistant in Tacoma, Washington. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
Practice location Partly verified
Madigan Army Medical Ctr 9040A Reid StTacoma, WA 98431-1100
Phone: (541) 922-3104
Fax: (541) 922-2951
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA00965 (OR) |
|---|
Record details
| NPI number | 1033114954 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | May 16, 2013 |
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