Organization
HAROLD T. PRETORIUS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD T. PRETORIUS M.D. (PHYSICIAN)
(513) 561-3797
Entity
Organization
Contact information
Practice address
103 LANDMARK DR, SUITE 365, BELLEVUE, KY 41073-1393
(513) 561-3797
(513) 561-4043
Mailing address
4743 CORNELL RD, BLUE ASH, OH 45241-2432
(513) 561-3797
(513) 561-4043
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
31919
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31919
MEDICAL LICENSE
KY
Enumeration date
05/24/2013
Last updated
12/09/2013
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