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Individual
COLLEEN HEATHER BRENT
Active
Individual
COLLEEN HEATHER BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD420297
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101071369
—
PA
01
—
1544543
GATEWAY-YH
PA
01
—
1614661
HIGHMARK BLUE SHIELD-YH
PA
Enumeration date
06/25/2006
Last updated
10/10/2013
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