Dante Dubose, PA-C
Physician Assistant in Cleveland, OH. Individual provider (NPI-1).
NPI number1699208231
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1699208231
- Entity type
- Individual (NPI-1)
- Name
- Dante Dubose
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008320RX | OH | Yes |
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – |
Practice location
11100 Euclid AveCleveland, OH 44106-1716
Phone 216-844-3278
Mailing address
11100 Euclid AveCleveland, OH 44106-1716
Phone 216-844-3278
Other practice locations
307 Boatner Rd
Eglin Afb, FL 32542-1302
Eglin Afb, FL 32542-1302
Phone 850-875-9571
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