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Organization
HAROLD J. BOWERSOX, D.O., INC
Active
Organization
HAROLD J. BOWERSOX, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD JONATHAN BOWERSOX D.O. (PHYSICIAN)
(440) 602-7700
Entity
Organization
Contact information
Practice address
34950 CHARDON ROAD, SUITE 206, WILLOUGHBY HILLS, OH 44094
(440) 602-7700
(440) 602-9540
Mailing address
34950 CHARDON RD, SUITE 206, WILLOUGHBY, OH 44094-9162
(440) 602-7700
(440) 602-9540
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
11/30/2007
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