MR. Larry E Witham, PHYSICIAN ASSISTANT
NPI #1033114954 in Tacoma, Washington
Provider Information
- NPI Number
- 1033114954
- Entity Type
- Individual
- Name
- MR. Larry E Witham, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jun 16, 2005
- Last Updated
- May 16, 2013
Practice Location
- Address
- MADIGAN ARMY MEDICAL CTR
- Address 2
- 9040A REID STREET
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98431-1100
- Phone
- (541) 922-3104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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