| Doctor Name: | DR. ROBERT C. PRESTON |
| NPI Number: | 1942382585 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | SD1692 |
| Business Practice Address: | 408 Knollwood Dr Rapid City, SD - 577010600 |
| Business Phone Number: | 6053416600 |
| Business Fax Number: | |
| Mailing Address: | 408 Knollwood Dr, RAPID CITY |
| State: | SD |
| Postal Code: | 577010600 |
| Phone Number: | 6053416600 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 02/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SD1692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |