Provider Demographics
NPI:1457857971
Name:MAY, PRESTON DAVIS (DO)
Entity Type:Individual
Prefix:
First Name:PRESTON
Middle Name:DAVIS
Last Name:MAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 LIBERTY STREET STE III
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335
Mailing Address - Country:US
Mailing Address - Phone:814-336-6384
Mailing Address - Fax:814-724-2771
Practice Address - Street 1:765 LIBERTY STREET STE III
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335
Practice Address - Country:US
Practice Address - Phone:814-336-6384
Practice Address - Fax:814-724-2771
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA050220832080A0000X
MS390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program