Individual
JENNIFER PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N 12TH ST, 512, PHOENIX, AZ 85006-2848
(602) 258-1519
(602) 258-5845
Mailing address
1300 N 12TH ST, 512, PHOENIX, AZ 85006-2848
(602) 258-1519
(602) 258-5845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49099
AZ
208600000X
Surgery Physician
MD162105
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2008
Last updated
09/13/2016
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