Individual
DR. EDNA B PRETILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
647 EASTERN BLVD, CLARKSVILLE, IN 47129-2453
(812) 282-4309
(812) 283-8299
Mailing address
107 PLUM LAKE CT, SELLERSBURG, IN 47172-9076
(812) 246-3047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207781
ANTHEM
IN
01
—
0698592
AETNA
IN
05
—
100221750A
—
IN
01
—
2750654
CIGNA
IN
01
—
351282109
UNITED HEALTHCARE
IN
01
—
735240
RAILROAD MEDICARE
IN
Enumeration date
07/19/2006
Last updated
03/04/2009
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