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NPI Code Detail

MEDICARE: DAVID RANGE MD

MEDICARE:   DAVID  RANGE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianMD036979DC
2207Y00000XOtolaryngology Physician0101242497VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427059161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RANGE MD
Provider Business Mailing Address
First Line : 2021 K ST NW
Second Line : 210
City : WASHINGTON
State : DC
Zip : 20006-1003
Country : US
Telephone Number : 202-223-3560
Fax Number : 202-223-3339
Provider Business Practice Location Address
First Line : 2021 K ST NW
Second Line : 210
City : WASHINGTON
State : DC
Zip : 20006-1003
Country : US
Telephone Number : 202-223-3560
Fax Number : 202-223-3339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 12/09/2010

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Directions to “ DAVID RANGE MD” Practice Location

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