Individual
PAUL THOMAS LATTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2024-03405
NC
2085R0202X
Diagnostic Radiology Physician
Primary
75523
AZ
Other
Enumeration date
03/28/2019
Last updated
03/11/2025
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