NPI 1053842112
Johan Latorre, MDMS
Practice location
- Address
- Src 190 1717 6th Ave S, Birmingham, AL 35294-0001
- Phone
- (205) 975-8298
Registered specialties (3)
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1053842112
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Mar 2017
- Record last updated
- 30 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.