Individual
CLARKE LATTA HENRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 W 74TH ST, SUITE 1, SHAWNEE MISSION, KS 66204-2204
(913) 341-0120
(913) 344-6071
Mailing address
8901 W 74TH STREET, SUITE 1, SHAWNEE MISSION, KS 66204-2201
(913) 341-0120
(913) 341-6071
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R7F67
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202277919
—
MO
Enumeration date
07/12/2005
Last updated
02/25/2011
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