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Individual
MICHAEL A PRENDERGAST
Active
Individual
MICHAEL A PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
49520
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL-2607
CO
Other
Enumeration date
05/14/2008
Last updated
12/20/2010
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