MR. Ricky Dwayne Latham, MD
NPI #1477553139 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1477553139
- Entity Type
- Individual
- Name
- MR. Ricky Dwayne Latham, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Credential
- MD
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Feb 13, 2019
Practice Location
- Address
- 2001 VALENICA DRIVE
- Address 2
- SUITE 201
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 524-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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