Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICKY DWAYNE LATHAM, MD
ActiveCardiovascular Disease · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1477553139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (20.799233730863 yrs)
- Last Updated
- Feb 13, 2019
- Licenses
-
M6887 (ID)MD170342 (OR)
Practice Information
- Address
-
2001 VALENICA DRIVESUITE 201IDAHO FALLS, ID, 83404Browse ID providers · Browse ZIP 83404
- Phone
- 2085249400
- Fax
- 2085249401
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DOUGLAS U. BLANK | MD | 1871598631 |
| MR. JOHN D CHAMBERS JR. | M.D. | 1578568242 |
| GEORGE M GARCIA | MD | 1548266315 |
| DR. PATRICK D GORMAN | MD | 1295735769 |
| PAUL A GERLACH | MD | 1215025648 |
| DR. SCOTT KERMIT HUFFAKER | D.O | 1346462306 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.