Individual
BRIAN SCOTT GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3237
(330) 480-3970
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3237
(330) 480-3970
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
35.076861
OH
2086S0127X
Trauma Surgery Physician
35076861
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2573317
—
OH
01
—
H149640
MEDICARE PTAN
OH
Enumeration date
08/20/2006
Last updated
03/12/2020
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