| Organization Name: | HAROLD J. BOWERSOX, D.O., INC |
| NPI Number: | 1174611453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD JONATHAN BOWERSOX (PHYSICIAN) |
| Mailing Address: | 34950 Chardon Road Suite 206 Willoughby Hills |
| State: | OH US |
| Postal Code: | 44094 |
| Phone Number: | 4406027700 |
| Fax Number: | 4406029540 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |