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Individual

MR. ALEX PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
465 W PUTNAM, PORTERVILLE, CA 93257
(559) 784-1110
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
(661) 633-2700

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A81836
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A818360
BLUE SHIELD OF CA
CA
05
00A818360
CA
Enumeration date
01/27/2006
Last updated
11/05/2012
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