Individual
DR. GARY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-3264
(419) 783-3389
Mailing address
1400 E 2ND ST, DEFIANCE CLINIC, SKIN CARE, DEFIANCE, OH 43512-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965719
—
OH
Enumeration date
06/23/2005
Last updated
01/19/2008
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