Individual
MR. LARRY ALTON WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5335 DISCOVERY PARK BLVD STE B, WILLIAMSBURG, VA 23188-2696
(757) 253-0603
(757) 873-3239
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(578) 731-5547
(757) 873-3239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840677
VA
Other
Enumeration date
02/14/2006
Last updated
04/14/2025
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