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Mark Latta, O.D
NPI 1609865872 · on the registry since 2005
Practice
- Address
- Corner Of Route N12 And N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8925
- Organisation at this address
- Fort Defiance Indian Hospital Board, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 292
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona