Provider Demographics
NPI:1952648545
Name:PRETLOW, ROBERT ASHTON III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ASHTON
Last Name:PRETLOW
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 ELLIOTT AVE APT 1430
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1193
Mailing Address - Country:US
Mailing Address - Phone:206-448-4414
Mailing Address - Fax:
Practice Address - Street 1:2800 ELLIOTT AVE APT 1430
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1193
Practice Address - Country:US
Practice Address - Phone:206-448-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016728208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics