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Individual

MARLYS R DRANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD,PHD

Contact information

Practice address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4180
Mailing address
2029 VERDUGO BLVD # 781, MONTROSE, CA 91020-1626
(626) 795-2663
(973) 425-5657

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A54654
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A546540
BLUE SHIELD OF CA PROVIDE
CA
01
7923140
AETNA PROVIDER #
CA
01
P00101088
RAILROAD BOARD PROVIDER #
CA
Enumeration date
08/18/2005
Last updated
05/02/2025
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