A LARRY BOULWARE MD PC
Ambulatory Health at Five Mile Centre Park, Fredericksburg, VA

License number
Virginia 0101236689
Category
Ambulatory Health
Type
Primary Care
Owner
Name: ALFRED LARRY BOULWARE MD
Title: INTERNIST - OWNER
Phone: (540) 548-2284
Address
Address
6330 Five Mile Centre Park STE 400, Fredericksburg, VA 22407
National Provider ID: 1427355288
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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A. Larry Boulware, M.D., PC

6330 5 Mile Ctr, Fredericksburg, VA 22407

Doing business as:
A Larry Boulware MD PC
Registration:
Apr 1, 2008
Phone:
(540) 548-2284 (Phone)
State ID:
06926299
Business type:
Corporation
Agent:
Charles W Payne Jr,725 Jackson St STE 200, Fredericksburg, VA 22401
Categories:
Physicians & Surgeons

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