MR. Jacob Michael Dakota Redfox, PA-C

NPI #1770130858 in Waterville, Ohio

Provider Information

NPI Number: 1770130858
Entity Type: Individual
Name: MR. Jacob Michael Dakota Redfox, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 22, 2019
Last Updated: Aug 16, 2022

Practice Location

Address: 7610 TOURNAMENT DR
City: Waterville
State: Ohio
ZIP Code: 43566-8702
Phone: (419) 704-6634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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