Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALTON HENRY DAUTERIVE, MD, FACS
ActiveVascular Surgery · GULFPORT, MS
Registration Details
- NPI Number
- 1558491589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.16711593613 yrs)
- Last Updated
- Jul 10, 2014
- License
-
10998 (MS)
Practice Information
- Address
-
1340 BROAD AVESUITE 220GULFPORT, MS, 395012404Browse MS providers · Browse ZIP 39501
- Phone
- 2288640092
- Fax
- 2288676423
- Primary Specialty
-
Vascular Surgery
2086S0129X
Other Vascular Surgery Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| JOSEPH A GRAHAM | D.O. | 1225096860 |
| DR. ANDREA KELLY BARKER | M.D. | 1922204130 |
| HAYLIE REED | MD | 1801392212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.