Basic Information
| Provider Information | |||||||||
| NPI: | 1871540989 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DLUGOS | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2420 LAKE AVENUE ASHATBULA COUNTY MEDICAL CENTER | ||||||||
| Address2: | DEPARTMENT OF HOSPITAL MEDICINE | ||||||||
| City: | ASTHABULA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409972262 | ||||||||
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| Practice Location | |||||||||
| Address1: | THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE | ||||||||
| Address2: | DEPARTMENT OF PULMONARY, ALLERGY, CRITICAL CARE | ||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164444082 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2006 | ||||||||
| LastUpdateDate: | 04/11/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 50.002623 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.