Organization
BRUCE D. LATHAM, D.O.,P.A.
Active
Other names
Bruce D. Latham, D.O.,P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D LATHAM DO (OWNER)
(603) 901-1042
Entity
Organization
Contact information
Practice address
66 MAIN ST, CONWAY, NH 03818-6163
(603) 901-1042
(603) 901-1092
Mailing address
PO BOX 123, CONWAY, NH 03818-0123
(603) 901-1042
(603) 901-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
01/28/2021
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