Harold J. Bowersox, D.o., Inc | |
34950 Chardon Road Suite 206 Willoughby Hills OH 44094 | |
(440) 602-7700 | |
(440) 602-9540 |
Full Name | Harold J. Bowersox, D.o., Inc |
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Speciality | Family Medicine - Adult Medicine |
Location | 34950 Chardon Road, Willoughby Hills, Ohio |
Authorized Official Name and Position | Harold Jonathan Bowersox (PHYSICIAN) |
Authorized Official Contact | 4406027700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Harold J. Bowersox, D.o., Inc 34950 Chardon Rd Suite 206 Willoughby OH 44094-9162 Ph: (440) 602-7700 | Harold J. Bowersox, D.o., Inc 34950 Chardon Road Suite 206 Willoughby Hills OH 44094 Ph: (440) 602-7700 |
NPI Number | 1174611453 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 11/30/2007 |
Identifier | Type | State | Issuer |
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1174611453 | NPI | - | NPPES |
2731422 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |