Mr. LARRY E WITHAM Physician Assistant ⚕️ Washington 1033114954

NPI	1033114954
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	363AM0700X Physician Assistant, Medical (Licence: OR PA00965)
Enumeration Date	2005-06-16
Last Update Date	2013-05-16

Mr. LARRY E WITHAM Physician Assistant

MADIGAN ARMY MEDICAL CTR 9040A REID STREET

TACOMA, WA 98431-1100

Phone number: 541-922-3104

Mr. LARRY E WITHAM Physician Assistant

MADIGAN ARMY MEDICAL CTR 9040A REID STREET

TACOMA, WA 98431-1100

Phone number: 541-561-1420