Individual
MARK A PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241042
—
IA
01
—
11471
MIDLANDS CHOICE
IA
05
—
1811987043
—
IA
01
—
28592
WELLMARK
IA
01
—
IA0105
JOHN DEERE
IA
Enumeration date
10/27/2005
Last updated
11/08/2016
Update your record
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