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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2731422
—
OH
Enumeration date
10/11/2006
Last updated
11/30/2007
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