Individual
WAYNE C PRETILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Mailing address
1451 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-3456
(812) 752-5884
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01026839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221310
—
IN
01
—
940540UU
LEGACY MEDICARE
IN
Enumeration date
02/20/2006
Last updated
06/01/2016
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