Mark A. Latta is a Optometrist based in Albuquerque, AZ. Mark A. Latta practices in Fort Defiance, AZ and has the professional credentials of OD. The NPI Number for Mark A. Latta is 1609865872 and holds a License No. 2728TG (Arizona).
The current practice location address for Mark A. Latta is Corner Of Route N12 And N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8925.
Identifier | Type | State | Issuer |
---|---|---|---|
410039483 | 01 | TX | RAILROAD MEDICARE |
89X292 | 01 | TX | BC/BS |
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