| Bruce D. Latham, D.o.,p.a. | |
|
66 Main St Conway NH 03818-6163 | |
| (603) 901-1042 | |
| (603) 901-1092 |
| Full Name | Bruce D. Latham, D.o.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 66 Main St, Conway, New Hampshire |
| Authorized Official Name and Position | Bruce D Latham (OWNER) |
| Authorized Official Contact | 6039011042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce D. Latham, D.o.,p.a. Po Box 123 Conway NH 03818-0123 Ph: (603) 901-1042 | Bruce D. Latham, D.o.,p.a. 66 Main St Conway NH 03818-6163 Ph: (603) 901-1042 |
| NPI Number | 1386268720 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386268720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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