Dr. Harold Jonathan Bowersox, D.O.
Family Medicine in Mentor, OH. Individual provider (NPI-1).
NPI number1447362066
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1447362066
- Entity type
- Individual (NPI-1)
- Name
- Dr. Harold Jonathan Bowersox
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34-003486 | OH | Yes |
Practice location
9500 Mentor AveSuite 360
Mentor, OH 44060-8713
Phone 440-255-5508 · Fax 440-357-4416
Mailing address
Po Box 714328Columbus, OH 43271-4328
Phone 440-354-1899 · Fax 440-354-1845
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