Individual
JUSTIN W. LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 E MARSHALL ST, DEPT. OF ORTHOPAEDIC SURGERY, RICHMOND, VA 23298-5051
(804) 828-7069
(804) 828-4762
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003925
VA
Other
Enumeration date
08/16/2012
Last updated
01/18/2017
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