Individual
BARRY LATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2540 EAST ST, CONCORD, CA 94520-1906
(925) 674-2506
(925) 674-2172
Mailing address
PO BOX 1440, SUISUN CITY, CA 94585-4440
(510) 964-0458
(510) 964-0476
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G55864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G558641
PPIN-MEDICARE
CA
Enumeration date
10/17/2006
Last updated
07/08/2007
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