Provider Demographics
NPI:1538280748
Name:PRESTON, DONALD CURRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CURRY
Last Name:PRESTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:612 N MARINE DR
Mailing Address - Street 2:#8
Mailing Address - City:DEDEDO
Mailing Address - State:GU
Mailing Address - Zip Code:96929
Mailing Address - Country:US
Mailing Address - Phone:671-472-7047
Mailing Address - Fax:671-633-2329
Practice Address - Street 1:612 N MARINE DR
Practice Address - Street 2:#8
Practice Address - City:DEDEDO
Practice Address - State:GU
Practice Address - Zip Code:96929
Practice Address - Country:US
Practice Address - Phone:671-472-7047
Practice Address - Fax:671-633-2329
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM915207R00000X
AZ15459207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F70285Medicare UPIN
53961Medicare ID - Type Unspecified