Ricky Dwayne Latham is a Cardiovascular Disease Physician based in Coos Bay, ID and is specialized in Cardiovascular Disease. Ricky Dwayne Latham practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Ricky Dwayne Latham is 1477553139 and holds a License No. M6887 (Idaho).
The current practice location address for Ricky Dwayne Latham is 2001 Valenica Drive, Idaho Falls, ID and can be reached out via phone at 208-524-9400 and via fax at 208-524-9401. You can also correspond with Ricky Dwayne Latham through the mailing address at 1775 THOMPSON RD, COOS BAY, OR - 97420-2125 (mailing address contact number: 541-266-4650).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111489100 | 01 | MEDICAID WYOMING, MWY | |
| 000010005099 | 01 | BLUE SHIELD OF ID, BS | |
| 060053550 | 01 | RAILROAD MEDICARE, RRM | |
| DZ692 | 01 | BLUE CROSS OF ID SE, BC2 | |
| M6887 | 01 | ID | ID |
| 000010005099 | 01 | BLUE SHIELD OF ID S, BS2 | |
| 000353200 | 01 | EDS- MEDICAID, EDS | |
| 111489100 | 01 | WY/EDS CONSULTEC, INC WYM | |
| 8318842 | 01 | MEDICAID OF WA, MD-W | |
| DZ692 | 01 | BLUE CROSS OF IDAHO, BC | |
| 000353200 | 05 | ID | |
| 500680039 | 05 | OR | |
| 0031512 | 01 | MONTANA MEDICAID, MEM | |
| 1134041 | 01 | MEDICARE-CIGNA, MC |
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