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Individual
RICHARD PRETORIUS
Active
Individual
RICHARD PRETORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46970
KY
207Q00000X
Family Medicine Physician
Primary
35-057683
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560378
—
NY
05
—
3120563
—
OH
05
—
7100319390
—
KY
Enumeration date
08/30/2005
Last updated
11/18/2015
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