LARRY E WITHAM

TACOMA, WA
NPI1033114954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA00965)
Enumeration Date2005-06-16
Last Update Date2013-05-16
Business Address
Mr. LARRY E WITHAM Physician Assistant
MADIGAN ARMY MEDICAL CTR 9040A REID STREET
TACOMA, WA 98431-1100
Phone number: 541-922-3104
Mailing Address
Mr. LARRY E WITHAM Physician Assistant
MADIGAN ARMY MEDICAL CTR 9040A REID STREET
TACOMA, WA 98431-1100
Phone number: 541-561-1420
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