# MITCHELL C. PRESTON MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891993416
- **Authorized official:** MITCHELL C PRESTON M.D (MEDICAL DOCTOR)
- **Authorized official phone:** (928) 649-9519

## Contact information

- **Practice address:** 1759 E VILLA DR, SUITE 114, COTTONWOOD, AZ 86326-4681
- **Practice address phone:** (928) 649-9519
- **Mailing address:** PO BOX 4420, COTTONWOOD, AZ 86326-2574
- **Mailing address phone:** (928) 649-9519
- **Mailing address fax:** (928) 649-9967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31874 | AZ | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 821753 | AHCCCS ID | AZ |