Charles Elliott Lange M.D.

NPI 1881985802 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1881985802
Gender Male
Enumeration Date 04/25/2011
Last Updated 07/02/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
2700 NW STEWART PKWY
DEPT OF EMERGENCY MEDICINE, MERCY MEDICAL CENTER
ROSEBURG OR, 97471, US
Phone (541) 677-4333
Fax
Business Location
2700 NW STEWART PKWY
DEPT OF EMERGENCY MEDICINE, MERCY MEDICAL CENTER
ROSEBURG OR, 97471, US
Phone (541) 677-4333
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Charles Elliott Lange M.D. NPI is 1881985802, taxonomy code is 390200000X Charles Elliott Lange M.D. physically located at 2700 Nw Stewart Pkwy, Roseburg OR, 97471. NPI Number Charles Elliott Lange M.D. has the Individual type.

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1881985802 NPI number is provided on an as is basis without warranty of any kind. 1881985802 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Elliott Lange M.D. are for informational purposes only.