Dr. Brendan James Prast, MD, MPH
Family Medicine in Sanford, ME. Individual provider (NPI-1).
NPI number1043779804
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1043779804
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendan James Prast
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD26215 | ME | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
25a June St Ste 111Sanford, ME 04073-2642
Phone 207-490-7998 · Fax 207-490-7999
Mailing address
25a June St Ste 111Sanford, ME 04073-2642
Phone 207-490-7998
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