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Dr. Alton Henry Dauterive, MD,FACS
Vascular Surgery Physician in Gulfport, Mississippi
NPI 1558491589

Alton Henry Dauterive is a Vascular Surgery Physician based in Gulfport, MS and is specialized in Vascular Surgery. Alton Henry Dauterive practices in Gulfport, MS and has the professional credentials of MD,FACS. The NPI Number for Alton Henry Dauterive is 1558491589 and holds a License No. 10998 (Mississippi).

The current practice location address for Alton Henry Dauterive is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-864-0092 and via fax at 228-867-6423. You can also correspond with Alton Henry Dauterive through the mailing address at PO BOX 1810, GULFPORT, MS - 39502-1810 (mailing address contact number: 228-864-0092).

Location: 1340 Broad Ave, Gulfport, MS, 39502-1810
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Provider Profile Details
NPI Number
1558491589
Provider Name
Alton Henry Dauterive
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
1340 Broad Ave, Gulfport, MS, 39502-1810
Phone Number
228-864-0092
Fax Number
228-867-6423
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00117914 05 MS
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-864-0092
Fax Number
228-867-6423
person
Provider Business Mailing Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-864-0092
Fax Number
228-867-6423
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
10998 (Mississippi)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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