RALPH I LATTA

BENTON, IL
NPI1215956602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036114358)
Enumeration Date2006-07-18
Last Update Date2020-11-11
Business Address
RALPH I LATTA MD
501 N DUQUOIN
BENTON, IL 62812-5228
Phone number: 618-435-5362
Mailing Address
RALPH I LATTA MD
PO BOX 1228 501 N DUQUOIN
BENTON, IL 62812-5228
Phone number: 618-435-5362
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