person
Ralph I Latta, MD
Family Medicine Physician in Benton, Illinois
NPI 1215956602

Ralph I Latta is a Family Medicine Physician based in Benton, IL. Ralph I Latta practices in Benton, IL and has the professional credentials of MD. The NPI Number for Ralph I Latta is 1215956602 and holds a License No. 036114358 (Illinois).

The current practice location address for Ralph I Latta is 501 N Duquoin, Benton, IL and can be reached out via phone at 618-435-5362 and via fax at 618-438-2613.

Location: 501 N Duquoin, Benton, IL, 62812-5228
person
Provider Profile Details
NPI Number
1215956602
Provider Name
Ralph I Latta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 N Duquoin, Benton, IL, 62812-5228
Phone Number
618-435-5362
Fax Number
618-438-2613
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00329229 01 IL RR MEDICARE NUMBER
CG5564 01 IL RR GROUP NUMBER
036114358 05 IL
institution
Provider Business Practice Location Address Details
Address
501 N Duquoin
City
State
Zip
62812-5228
Phone Number
618-435-5362
Fax Number
618-438-2613
person
Provider Business Mailing Address Details
Address
501 N Duquoin
City
State
Zip
62812-5228
Phone Number
618-435-5362
Fax Number
618-438-2613
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036114358 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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