| Doctor Name: | JUSTIN D ATHERTON |
| NPI Number: | 1386876167 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 4149 |
| Business Practice Address: | 1111 6th Ave Des Moines, IA - 503142613 |
| Business Phone Number: | 5156432261 |
| Business Fax Number: | |
| Mailing Address: | 1111 6th Ave, DES MOINES |
| State: | IA |
| Postal Code: | 503142613 |
| Phone Number: | 5156432261 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2009 |
| NPI Last Update Date: | 01/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |