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Individual

DAVID RANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2021 K ST NW, 210, WASHINGTON, DC 20006-1003
(202) 223-3560
(202) 223-3339
Mailing address
2021 K ST NW, 210, WASHINGTON, DC 20006-1003
(202) 223-3560
(202) 223-3339

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101242497
VA
207Y00000X
Otolaryngology Physician
Primary
MD036979
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02677847
NY
Enumeration date
08/03/2005
Last updated
12/09/2010
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