Individual
MARK PRESTON
Active
Individual
MARK PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
040237
CT
207VG0400X
Gynecology Physician
040237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402370
—
CT
Enumeration date
10/05/2006
Last updated
11/26/2013
Update your record
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