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Individual

PRESTON CHARLES MAXIM

Active
Find providers by NPI
Individual

PRESTON CHARLES MAXIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
59325
AZ
207P00000X
Emergency Medicine Physician
Primary
A70159
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A701590
—
CA
01
—
930100761
RAILROAD MEDICARE
CA
Enumeration date
06/11/2006
Last updated
01/16/2025
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