Individual
MR. MARK C PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 NORTH HAMILTON RD, SUITE 130, COLUMBUS, OH 43230-8703
(614) 478-4785
(614) 478-4159
Mailing address
765 NORTH HAMILTON RD, SUITE 130, COLUMBUS, OH 43230-8703
(614) 478-4785
(614) 478-4159
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35051676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120017
ANTHEM
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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