Ralph I Latta, MD

NPI #1215956602 in Benton, Illinois

Provider Information

NPI Number: 1215956602
Entity Type: Individual
Name: Ralph I Latta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 18, 2006
Last Updated: Nov 11, 2020

Practice Location

Address: 501 N DUQUOIN
City: Benton
State: Illinois
ZIP Code: 62812-5228
Phone: (618) 435-5362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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