Individual
MICHAEL A PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
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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