| NPI | 1376005645 |
|---|---|
| Professional Name | TROY PRENDERGAST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2021-07-15 |