IndividualActive
Ricky Latham, MD
NPI 1477553139 · Cardiovascular Disease Physician · Idaho Falls, ID
Provider details
- NPI number
- 1477553139
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M6887 (ID)
Practice location
2001 Valenica Drive
Suite 201
Idaho Falls, ID 83404
Phone: (208) 524-9400
Fax: (208) 524-9401
Mailing address
1775 Thompson Rd
Coos Bay, OR 97420-2125
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2019-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.