Individual
PETER PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25500 POINT LOOKOUT ROAD, LEONARDTOWN, MD 20650
(301) 279-6550
Mailing address
PO BOX 17564, BALTIMORE, MD 21297-1564
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D48024
MD
Other
Enumeration date
07/10/2006
Last updated
07/16/2007
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