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STACY MARIE ATHERTON DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1891957023

Individual Registrant:
 STACY MARIE ATHERTON DPM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1305 SUMNER ST STE 200 LONGMONT, CO 80501-3271 US
Tel: 303-772-3232  Fax: --

Contact information for business:
1931 65TH AVE #A GREELEY, CO 80634-7945 US
Tel: 970-351-0900  Fax: --

Registration Information:
NPI: 1891957023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
ORDP00437
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
CO703

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
78927528CO05




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