| Doctor Name: | ATHALIA L CLOWER |
| NPI Number: | 1053349043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA10003094 |
| Business Practice Address: | 3950 Keene Rd West Richland, WA - 993534901 |
| Business Phone Number: | 5099423130 |
| Business Fax Number: | 5096288335 |
| Mailing Address: | 945 Goethals Dr, Ste 200 RICHLAND |
| State: | WA |
| Postal Code: | 993523552 |
| Phone Number: | 5099426327 |
| Fax Number: | 5099460908 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10003094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |