Individual
KATE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2598
Mailing address
77 W FOREST AVE, SUITE 201, FLAGSTAFF, AZ 86001-1479
(928) 773-2222
(928) 773-2598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111828
—
AZ
01
—
1265692982
AETNA
AZ
Enumeration date
06/16/2008
Last updated
01/14/2021
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