| NPI | 1154621829 |
|---|---|
| Doing Business As | MARION MEDICAL GROUP-LATTA |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-12-19 |