ILYA LATYSHENKO

FORT HOOD, TX
NPI1881031243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  2018-00158)
Enumeration Date2013-05-25
Last Update Date2023-11-27
Business Address
Dr. ILYA LATYSHENKO M.D.
36000 DARNALL LOOP ATTN: MCXI-DEM
FORT HOOD, TX 76544-5095
Phone number: 254-288-8303
Mailing Address
Dr. ILYA LATYSHENKO M.D.
36000 DARNALL LOOP ATTN:MCXI-DEM
FORT HOOD, TX 76544-5095
Phone number: 254-288-8303
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