Individual
DR. KOYIA LATRECE FIGURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 733-3867
Mailing address
304 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 733-3867
(870) 732-7707
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E5706
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
T2008-092
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175003001
—
AR
Enumeration date
05/23/2007
Last updated
01/14/2015
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