Vicki C Latham, PA-C
Physician Assistant in Stillwater, OK. Individual provider (NPI-1).
NPI number1790740769
StatusActive
Last updated in NPPESNov 5, 2009
Details
- NPI
- 1790740769
- Entity type
- Individual (NPI-1)
- Name
- Vicki C Latham
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- Nov 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | OK725 | OK | Yes |
Other names
- Vicki Ann Campbell (Former Name)
Practice location
608 S Hester StStillwater, OK 74074-4516
Phone 405-377-8000 · Fax 405-377-8040
Mailing address
608 S Hester StStillwater, OK 74074-4516
Phone 405-377-8000 · Fax 405-377-8040
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All 28 Physician Assistant providers in Stillwater · All 1,744 providers in Stillwater
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