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.
Identifier | Type | State | Issuer |
---|---|---|---|
P00329229 | 01 | IL | RR MEDICARE NUMBER |
CG5564 | 01 | IL | RR GROUP NUMBER |
036114358 | 05 | IL |
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