| Doctor Name: | MR. PRESTON HEATH BOYLES |
| NPI Number: | 1629366786 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP-C |
| License Number: | 82777 |
| Business Practice Address: | 311 W Main St Marlow, OK - 730552441 |
| Business Phone Number: | 5807564076 |
| Business Fax Number: | 5807564077 |
| Mailing Address: | Po Box 166, MARLOW |
| State: | OK |
| Postal Code: | 730550166 |
| Phone Number: | 5807564076 |
| Fax Number: | 5807564077 |
| NPI Enumeration Date: | 07/11/2011 |
| NPI Last Update Date: | 06/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 82777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |