# BRUCE D. LATHAM, D.O.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruce D. Latham, D.O.,P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386268720
- **Authorized official:** DR. BRUCE D LATHAM DO (OWNER)
- **Authorized official phone:** (603) 901-1042

## Contact information

- **Practice address:** 66 MAIN ST, CONWAY, NH 03818-6163
- **Practice address phone:** (603) 901-1042
- **Practice address fax:** (603) 901-1092
- **Mailing address:** PO BOX 123, CONWAY, NH 03818-0123
- **Mailing address phone:** (603) 901-1042
- **Mailing address fax:** (603) 901-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 01/28/2021