MR. LARRY WITHAM, PHYSICIAN ASSISTANT

Physician Assistant - Medical

Active Individual
NPI: 1033114954

Practice Address

MADIGAN ARMY MEDICAL CTR
9040A REID STREET
Tacoma, WA 98431

Phone: (541) 922-3104

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA00965 (OR)

Frequently Asked Questions

NPI 1033114954 is the National Provider Identifier for MR. LARRY WITHAM, PHYSICIAN ASSISTANT, a Physician Assistant - Medical provider located in Tacoma, WA. This NPI was enumerated on June 16, 2005.
MR. LARRY WITHAM, PHYSICIAN ASSISTANT practices at MADIGAN ARMY MEDICAL CTR, 9040A REID STREET, Tacoma, WA 98431.

Quick Facts

NPI
1033114954
Type
Individual
Enumerated
Jun 16, 2005
Last Updated
May 16, 2013

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