MR. MARK LATTA, O.D.

Optometrist

Active Individual
NPI: 1609865872

Practice Address

CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504

Phone: (928) 729-8925

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2728TG (TX)

Frequently Asked Questions

NPI 1609865872 is the National Provider Identifier for MR. MARK LATTA, O.D., a Optometrist provider located in Fort Defiance, AZ. This NPI was enumerated on October 19, 2005.
MR. MARK LATTA, O.D. practices at CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504.

Quick Facts

NPI
1609865872
Type
Individual
Enumerated
Oct 19, 2005
Last Updated
Jun 13, 2019

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