MR. LARRY E WITHAM PHYSICIAN ASSISTANT NPI 1033114954

NPI Information

NPI: 1033114954
Provider Name: MR. LARRY E WITHAM, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
MADIGAN ARMY MEDICAL CTR
9040A REID STREET
TACOMA, WA
ZIP 98431
Phone: (541) 922-3104
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MR. Larry E Witham, PHYSICIAN ASSISTANT is a medical physician assistant in Tacoma, WA. MR. Larry E Witham, PHYSICIAN ASSISTANT NPI is 1033114954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CTR
9040A REID STREET
TACOMA, WA
ZIP 98431-100
Phone: (541) 922-3104
Fax: (541) 922-2951

The enumeration date for this NPI number is 6/16/2005 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00965	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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