Organization
MITCHELL C. PRESTON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL C PRESTON M.D (MEDICAL DOCTOR)
(928) 649-9519
Entity
Organization
Contact information
Practice address
1759 E VILLA DR, SUITE 114, COTTONWOOD, AZ 86326-4681
(928) 649-9519
Mailing address
PO BOX 4420, COTTONWOOD, AZ 86326-2574
(928) 649-9519
(928) 649-9967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31874
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821753
AHCCCS ID
AZ
Enumeration date
07/05/2007
Last updated
08/22/2020
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