BRUCE D LATHAM DO

SACO RIVER MEDICAL GROUP, PC

Dr BRUCE D LATHAM DO is a male medical professional, specializing in Family Medicine. He graduated in 1991 from Nova Southeastern Univ College Of Dental Medicine.

Contact

SACO RIVER MEDICAL GROUP, PC

7 GREENWOOD AVE
CONWAY
NH
038186130

Tel: 6034473500

BRUCE D LATHAM DO Information

Npi 1356302491
Pac Id 6305881467
Professional Enrollment Id I20050621000125
Last Name LATHAM
First Name BRUCE
Middle Name D
Suffix
Gender M
Credential DO
Medical School Name NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SACO RIVER MEDICAL GROUP, PC
Group Practice Pac Id 7911817291
Number Of Group Practice Members 7
Line 1 Street Address 7 GREENWOOD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CONWAY
State NH
Zip Code 038186130
Phone Number 6034473500
Hospital Affiliation Ccn 1 301307
Hospital Affiliation Lbn 1 MEMORIAL HOSPITAL, THE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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