I don't currently know of a way to buy alt coins with fiat aside from the ones listed on Coinbase. Good news is that they plan to add more Alts this year so you'll be able to buy what there already have (ETH LTC) as well as the new ones directly with fiat. Let me know if you find a way though that would be cool.
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It looks like https://blocktrades.us/ is kind of what I was looking for. Buying LTC and sending it through blocktrades looks like the best option that I've seen so far.