Individual
DANIELLE ELLIOTT RANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 DUKE MEDICINE CIR, PATHOLOGY DEPT, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
201500111
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME95511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276724400
—
FL
01
—
59042
BCBS OF FL
FL
Enumeration date
10/26/2006
Last updated
02/24/2015
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