DR. Alicia Marie Latta, DO

NPI #1336734482 in Wpafb, Ohio

Provider Information

NPI Number: 1336734482
Entity Type: Individual
Name: DR. Alicia Marie Latta, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Mar 1, 2021
Last Updated: Jul 1, 2024

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wpafb
State: Ohio
ZIP Code: 45433-5529
Phone: (937) 208-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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