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NPI Code Detail

MEDICARE: COLLEEN HEATHER BRENT M.D.

MEDICARE:   COLLEEN HEATHER BRENT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD420297PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11544543OTHERPAGATEWAY-YH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31614661OTHERPAHIGHMARK BLUE SHIELD-YH

General Provider Information

NPI Number : 1720014251
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN HEATHER BRENT M.D.
Provider Business Mailing Address
First Line : 1012 MILLERS SPRING RD
Second Line :
City : YORK
State : PA
Zip : 17406-8613
Country : US
Telephone Number : 717-252-2354
Fax Number :
Provider Business Practice Location Address
First Line : 1012 MILLERS SPRING RD
Second Line :
City : YORK
State : PA
Zip : 17406-8613
Country : US
Telephone Number : 717-252-2354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 10/10/2013

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Directions to “ COLLEEN HEATHER BRENT M.D.” Practice Location

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