Individual
BART R PRESTON
Active
Individual
BART R PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200347-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02003474401001
BCBS
UT
01
—
107008987102
IHC
UT
01
—
5581
HEALTHY U
UT
01
—
660761
DESERET MUTUAL
UT
01
—
66114
PEHP
UT
01
—
PRA05806
MOLINA
UT
01
—
QM0000054865
ALTIUS
UT
Enumeration date
09/16/2006
Last updated
09/24/2007
Update your record
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