Dr. Rodolfo Jason Canos IV, D.O.
Surgery in Perrysburg, OH. Individual provider (NPI-1).
NPI number1154412005
StatusActive
Last updated in NPPESSep 4, 2019
Details
- NPI
- 1154412005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rodolfo Jason Canos IV
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Sep 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 34-00-8855 | OH | Yes |
Practice location
12621 Eckel Junction Rd Ste 2800Perrysburg, OH 43551-1304
Phone 419-724-4777 · Fax 419-724-4776
Mailing address
12621 Eckel Junction Rd Ste 2800Perrysburg, OH 43551-1304
Phone 419-724-4777 · Fax 419-724-4776
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