Individual
PRESTON T SPEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D430B, MOBILE, AL 36608-6705
(979) 393-9940
Mailing address
6701 AIRPORT BLVD, SUITE D430B, MOBILE, AL 36608-6705
(979) 393-9940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
015361
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938316
—
AL
05
—
07822391
—
MS
01
—
51535538
BLUE SHIELD
AL
Enumeration date
06/22/2006
Last updated
04/30/2008
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