Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mildred B Latham, PA-C

Individual provider Physician Assistant · NPI 1417159179

MS. Mildred B Latham, PA-C is a Physician Assistant in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Illinois and Oklahoma.

Licensed in
IL, OK
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3606 N Cincinnati Ave L.l.c
Tulsa, OK 74106-1536
Phone: (918) 428-5373
Fax: (918) 428-8235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1751 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 085002908 (IL)

Record details

NPI number1417159179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESAugust 12, 2008

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