Matthew P Latacha MD

NPI 1497969760 - Internal Medicine - 207RC0000X

NPI Details
NPI 1497969760
Gender Male
Enumeration Date 05/09/2007
Last Updated 06/12/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1120 N 103RD PLZ
OMAHA NE, 68114-1114, US
Phone (402) 391-5055
Fax (402) 391-5053
Business Location
PO BOX 3755
OMAHA NE, 68103-0755, US
Phone (402) 354-2100
Fax (402) 384-4202
Taxonomy Code 207RC0000X
License State Nebraska
License Number 25142
Remove 1497969760 NPI Number

According to our database, Dr. Matthew P Latacha MD NPI is 1497969760, taxonomy code is 207RC0000X and license number is 25142, license state is located at Nebraska. Matthew P Latacha MD physically located at 1120 N 103rd Plz, Omaha NE, 68114-1114. NPI Number Matthew P Latacha MD has the Individual type.

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1497969760 NPI number is provided on an as is basis without warranty of any kind. 1497969760 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew P Latacha MD are for informational purposes only.