GARY ATHERHOLT JR., MSPA-C, BSRT(R)
Physician Assistant
Active
Individual
NPI: 1609120617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | MA056314 (PA) |
| Physician Assistant | 363A00000X | No | 10216 (AZ) |
Frequently Asked Questions
NPI 1609120617 is the National Provider Identifier for GARY ATHERHOLT JR., MSPA-C, BSRT(R), a Physician Assistant provider located in Aurora, CO. This NPI was enumerated on October 30, 2012.
GARY ATHERHOLT JR., MSPA-C, BSRT(R) practices at 12605 E 16TH AVE, Aurora, CO 80045.
Quick Facts
- NPI
- 1609120617
- Type
- Individual
- Enumerated
- Oct 30, 2012
- Last Updated
- Jan 14, 2026
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