person
Mr. Larry E Witham, PHYSICIANASSISTANT
Medical Physician Assistant in Tacoma, Washington
NPI 1033114954

Larry E Witham is a Medical Physician Assistant based in Tacoma, WA and is specialized in Medical. Larry E Witham practices in Tacoma, WA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Larry E Witham is 1033114954 and holds a License No. PA00965 (Washington).

The current practice location address for Larry E Witham is Madigan Army Medical Ctr, Tacoma, WA and can be reached out via phone at 541-922-3104 and via fax at 541-922-2951.

Location: Madigan Army Medical Ctr, Tacoma, WA, 98431-1100
person
Provider Profile Details
NPI Number
1033114954
Provider Name
Larry E Witham
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
Madigan Army Medical Ctr, Tacoma, WA, 98431-1100
Phone Number
541-922-3104
Fax Number
541-922-2951
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Madigan Army Medical Ctr
City
State
Zip
98431-1100
Phone Number
541-922-3104
Fax Number
541-922-2951
person
Provider Business Mailing Address Details
Address
Madigan Army Medical Ctr
City
State
Zip
98431-1100
Phone Number
541-922-3104
Fax Number
541-922-2951
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00965 (Oregon)
Definition
Definition to come...
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