| Mr Mark A Latta, OD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8925 | |
| Not Available |
| Full Name | Mr Mark A Latta |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609865872 | NPI | - | NPPES |
| 410039483 | Other | TX | RAILROAD MEDICARE |
| 89X292 | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2728TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark A Latta, OD 4140 Marla Dr Ne, Albuquerque, NM 87109-1983 Ph: () - | Mr Mark A Latta, OD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8925 |
Dr. Melissa Marie Lester, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8929 | |
Dr. Lakitta Monchelle Woods-dwelle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Luisa Rahell Alvarez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 951-312-9596 | |
Ryan Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Indian Rte 7 & Indian Route 12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Ricardo Raul Salvat, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. David Henry Biberdorf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |