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Individual
DR. NIALL THOMAS PRENDERGAST
Active
Individual
DR. NIALL THOMAS PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017016679
MO
207R00000X
Internal Medicine Physician
Primary
MD474835
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD474835
PA
207RP1001X
Pulmonary Disease Physician
MD474835
PA
Other
Enumeration date
06/11/2014
Last updated
07/15/2021
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