MEDICARE: JOSEPH X LATELLA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01432	IA

General Provider Information

NPI Number	:	1073593919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH X LATELLA DO

Provider Business Mailing Address
First Line	:	914 WILLSON AVE
Second Line	:
City	:	WEBSTER CITY
State	:	IA
Zip	:	50595-2215
Country	:	US
Telephone Number	:	515-832-2911
Fax Number	:	515-832-1298

Provider Business Practice Location Address
First Line	:	914 WILLSON AVE
Second Line	:
City	:	WEBSTER CITY
State	:	IA
Zip	:	50595-2215
Country	:	US
Telephone Number	:	515-832-2911
Fax Number	:	515-832-1298

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	06/22/2010

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Directions to “ JOSEPH X LATELLA DO” Practice Location

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