MARC TRAVIS LATTA

NEWARK, DE
NPI1700985769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13626)
Additional Taxonomies363A00000X Physician Assistant
(Licence: VA  0110001154)
363A00000X Physician Assistant
(Licence: DE  C5-0001013)
Enumeration Date2006-09-22
Last Update Date2024-12-19
Business Address
MARC TRAVIS LATTA PA-C
4755 OGLETOWN STANTON RD SUITE 1E50
NEWARK, DE 19718-2200
Phone number: 302-733-1980
Mailing Address
MARC TRAVIS LATTA PA-C
200 HYGEIA DR SUITE 2300
NEWARK, DE 19713-2049
Phone number: