Organization
COMPREHENSIVE CARE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BOWEN D.O. (PRESIDENT-OWNER)
(419) 473-9500
Entity
Organization
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD, SUITE 100, TOLEDO, OH 43623-3536
(419) 473-9500
(419) 473-9501
Mailing address
4126 N HOLLAND SYLVANIA RD, SUITE 100, TOLEDO, OH 43623-3536
(419) 473-9500
(419) 473-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413392
—
OH
01
—
DA3156
RAILROAD MEDICARE
OH
Enumeration date
11/15/2005
Last updated
01/09/2008
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