Individual
DR. BRENDAN JAMES PRAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
(207) 490-7999
Mailing address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26215
ME
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/19/2019
Last updated
07/02/2024
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