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1639327901

NPI Code Detail

MEDICARE: DR. SARAH ELIZABETH MOWRY MD

MEDICARE: DR. SARAH ELIZABETH MOWRY 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
1	207Y00000X	Otolaryngology Physician	068249	GA
2	207Y00000X	Otolaryngology Physician	38977	IA
3	207Y00000X	Otolaryngology Physician	A90921	CA
4	207YX0901X	Otology & Neurotology Physician	127923	OH

General Provider Information

NPI Number	:	1639327901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ELIZABETH MOWRY MD

Provider Business Mailing Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	162-844-5042
Fax Number	:	216-201-4496

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-5042
Fax Number	:	216-201-4496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	12/02/2020

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Directions to “ DR. SARAH ELIZABETH MOWRY MD” Practice Location

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