Individual
PRESTON CLARK ROBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3655 E PENNY LN, COTTONWOOD, AZ 86326-7611
(928) 634-3902
Mailing address
3655 E PENNY LN, COTTONWOOD, AZ 86326-7611
(928) 634-3902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30613
AZ
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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