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1184086712
ETHAN LATIMER
FAYETTEVILLE, AR
NPI
1184086712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AR E-11233)
Enumeration Date
2016-03-23
Last Update Date
2022-11-04
Business Address
ETHAN LATIMER M.D.
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4424
Phone number: 479-463-1000
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Mailing Address
ETHAN LATIMER M.D.
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4424
Phone number: 479-463-1000
Copy
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