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Individual

PRESTON R SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1303 E HERNDON AVE, FRESNO, CA 93720
(559) 449-5360
(559) 449-3347
Mailing address
PO BOX 26750, FRESNO, CA 93729-6750
(559) 455-4000
(559) 455-4007

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
G58006
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G580060
CA
Enumeration date
07/21/2006
Last updated
05/29/2008
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