Provider Demographics
NPI:1861682429
Name:LATTA, STEVEN BRUCE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRUCE
Last Name:LATTA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14111 E ALAMEDA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2546
Mailing Address - Country:US
Mailing Address - Phone:303-343-1357
Mailing Address - Fax:303-343-3036
Practice Address - Street 1:14111 E ALAMEDA AVE STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2509
Practice Address - Country:US
Practice Address - Phone:303-343-1357
Practice Address - Fax:303-343-3036
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor