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Contact Information

STACY M ATHERTON, DPM
1305 SUMNER ST
STE 200
LONGMONT, CO80501-3271
 Phone: 303-772-3232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STACY M ATHERTON · (Female)

NPI # 1891957023
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/29/2008
Last updated 03/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 703
  • OR License # DP00437
  • CO Medicaid 78927528
Hospital affiliation(s)
  • MCKEE MEDICAL CENTER - (Acute Care)
    2000 BOISE AVE
    LOVELAND, CO 80538
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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