Individual
DR. ERIN C PRENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10700 E. GEDDES AVE SUITE 200, ATTN CREDENTIALING, ENGLEWOOD, CO 80112
(303) 761-9190
(303) 761-6278
Mailing address
10700 E. GEDDES AVE SUITE 200, ATTN CREDENTIALING, ENGLEWOOD, CO 80112
(303) 761-9190
(303) 761-6278
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
3484
AZ
2085R0202X
Diagnostic Radiology Physician
32827
CO
2085R0202X
Diagnostic Radiology Physician
3484
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01328277
—
CO
01
—
1Z7046
HEALTH NET OF AZ
AZ
05
—
481846
—
AZ
05
—
84059792913
—
NE
05
—
84089712600
—
NE
01
—
AZ0861410
BCBSAZ
AZ
01
—
XPY193671
MEDI-CAL MEDICAID
AZ
Enumeration date
02/20/2006
Last updated
09/29/2010
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