Organization · Type 2 NPI

A Larry Boulware MD PC

Primary Care Clinic/Center · Fredericksburg, VA

NPI number 1427355288 Active

Practice location

6330 Five Mile Centre Park Ste 400
Fredericksburg, VA 22407-5516

Call (540) 548-2284 Map

Fax (540) 548-2961

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X0101236689 (VA)

Primary Care Clinic/Center: Definition to come...

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About NPI 1427355288

A Larry Boulware MD PC's National Provider Identifier is 1427355288, issued on Feb 14, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fredericksburg, VA. The record was last updated on Feb 14, 2011.