Healthcare Provider Details

I. General information

NPI: 1598266017
Provider Name (Legal Business Name): IULIAN DRAGUSIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MDG 4102 PINION DR
AIR FORCE ACADEMY CO
80840
US

IV. Provider business mailing address

10 MDG 4102 PINION DR
AIR FORCE ACADEMY CO
80840
US

V. Phone/Fax

Practice location:
  • Phone: 719-333-5420
  • Fax:
Mailing address:
  • Phone: 719-333-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036173064
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberU2827
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: