Bow Tie Medical Ohio, LLC

NPI #1811328065 in Broadview Heights, Ohio

Provider Information

NPI Number: 1811328065
Entity Type: Organization
Organization Name: Bow Tie Medical Ohio, LLC
Primary Specialty: General Practice
Enumeration Date: Dec 12, 2013
Last Updated: Jan 20, 2022

Practice Location

Address: 7500 TOWN CENTRE DR STE 200
City: Broadview Heights
State: Ohio
ZIP Code: 44147-4029
Phone: (877) 283-8863

Authorized Official

Name: DR. FIROUZ DANESHGARI, MD
Title: CEO/CMO
Phone: (877) 283-8663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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