Doctor Name: | DR. DIANE L PRETORIUS |
NPI Number: | 1184608507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35 06 1793P |
Business Practice Address: | 525 E Market St Akron Radiology Inc Akron, OH - 443041619 |
Business Phone Number: | 3303754028 |
Business Fax Number: | 3303757932 |
Mailing Address: | 525 E Market St, Akron Radiology Inc AKRON |
State: | OH |
Postal Code: | 443041619 |
Phone Number: | 3303754028 |
Fax Number: | 3303757932 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 35 06 1793P |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |