# HAROLD J. BOWERSOX, D.O., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174611453
- **Authorized official:** DR. HAROLD JONATHAN BOWERSOX D.O. (PHYSICIAN)
- **Authorized official phone:** (440) 602-7700

## Contact information

- **Practice address:** 34950 CHARDON ROAD, SUITE 206, WILLOUGHBY HILLS, OH 44094
- **Practice address phone:** (440) 602-7700
- **Practice address fax:** (440) 602-9540
- **Mailing address:** 34950 CHARDON RD, SUITE 206, WILLOUGHBY, OH 44094-9162
- **Mailing address phone:** (440) 602-7700
- **Mailing address fax:** (440) 602-9540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/30/2007