person
Jude Fox
Medical Physician Assistant in Guerneville, California
NPI 1548415508

Jude Fox is a Medical Physician Assistant based in Guerneville, CA and is specialized in Medical. Jude Fox practices in Guerneville, CA. The NPI Number for Jude Fox is 1548415508 and holds a License No. PA19987 (California).

The current practice location address for Jude Fox is 16319 Third Street, Guerneville, CA and can be reached out via phone at 707-869-5977 and via fax at 707-869-5976.

Location: 16319 Third Street, Guerneville, CA, 95446
person
Provider Profile Details
NPI Number
1548415508
Provider Name
Jude Fox
Credential
Provider Entity Type
Individual
Gender
Female
Address
16319 Third Street, Guerneville, CA, 95446
Phone Number
707-869-5977
Fax Number
707-869-5976
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356344758 05 CA
ZZZ73222Z 01 CA MEDICARE NHIC
ZZZ21461Z 01 CA MEDICARE NHIC
237310613 01 CA BX/BS
1598768962 05 CA
institution
Provider Business Practice Location Address Details
Address
16319 Third Street
City
State
Zip
95446
Phone Number
707-869-5977
Fax Number
707-869-5976
person
Provider Business Mailing Address Details
Address
16319 Third Street
City
State
Zip
95446
Phone Number
707-869-5977
Fax Number
707-869-5976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA19987 (California)
Definition
Definition to come...
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