Individual
DR. PRESTON ADAM WALDROP
Active
Individual
DR. PRESTON ADAM WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101046000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006401104
—
VA
01
—
127779
SOUTHERN HEALTH
VA
01
—
200040420
RAILROAD MEDICARE
VA
01
—
286129
MAMSI
VA
01
—
3933260001
ADMINISTAR FEDERAL
VA
01
—
4409453
AETNA
VA
01
—
452548
ANTHEM
VA
01
—
542006922
UNITED HEALTHCARE
VA
01
—
700201861
CIGNA
VA
Enumeration date
06/12/2006
Last updated
01/30/2009
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