Individual
DR. MICHAEL R.P ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38 RANCHO VERDE, TIJERAS, NM 87059-7953
(505) 286-1625
(425) 740-9959
Mailing address
38 RANCHO VERDE, TIJERAS, NM 87059-7953
(505) 286-1625
(425) 740-9959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003-0123
NM
207L00000X
Anesthesiology Physician
D17847
MD
207L00000X
Anesthesiology Physician
ME 74597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271791000
—
MD
01
—
J784-0001
BC/BS
MD
Enumeration date
12/07/2005
Last updated
04/05/2010
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