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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1174611453 |
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| LBN Legal business name | HAROLD J. BOWERSOX, D.O., INC | ||||
| Authorized official | HAROLD BOWERSOX - (PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/11/2006 | ||||
| Last updated | 11/30/2007 - About 19 years ago | ||||
| Identifiers |
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HAROLD J. BOWERSOX, D.O., INC
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