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NPI Code Detail

MEDICARE: PRESTON F ASHBY DO

MEDICARE:   PRESTON F ASHBY  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician007541AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z216104OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992183198
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRESTON F ASHBY DO
Provider Business Mailing Address
First Line : 4530 E MUIRWOOD DR STE 105
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7693
Country : US
Telephone Number : 480-961-2303
Fax Number : 480-961-2306
Provider Business Practice Location Address
First Line : 1955 W FRYE RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6282
Country : US
Telephone Number : 480-728-7161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2015
Last Update Date : 12/16/2025

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Directions to “ PRESTON F ASHBY DO” Practice Location

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