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Individual

DR. RODOLFO JASON CANOS IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
12621 ECKEL JUNCTION RD STE 2800, PERRYSBURG, OH 43551-1304
(419) 724-4777
(419) 724-4776
Mailing address
12621 ECKEL JUNCTION RD STE 2800, PERRYSBURG, OH 43551-1304
(419) 724-4777
(419) 724-4776

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-00-8855
OH

Other

Enumeration date
09/27/2006
Last updated
09/04/2019
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