Individual
RODOLFO LOUIS CANOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
3333 W TECH RD, MIAMISBURG, OH 45342-0955
(937) 641-5725
(937) 350-3050
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.14278
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082514
—
OH
Enumeration date
03/19/2013
Last updated
02/13/2026
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