| NPI | 1386268720 |
|---|---|
| Former Legal Business Name | BRUCE D. LATHAM, D.O.,P.A. |
| Entity Type | Organization |
| Authorized Contact | BRUCE D LATHAM Owner 603-901-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-01-28 |