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NPI Code Detail

MEDICARE: DR. NATALIE A BOWERSOX MD

MEDICARE: DR. NATALIE A BOWERSOX MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35-08-2365BOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154396703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE A BOWERSOX MD
Provider Business Mailing Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 330-225-8886
Fax Number : 440-878-2620
Provider Business Practice Location Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 330-225-8886
Fax Number : 440-878-2620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/24/2011

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Directions to “ DR. NATALIE A BOWERSOX MD” Practice Location

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