| Doctor Name: | DR. CLIFTON M. NOWELL |
| NPI Number: | 1174709109 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O., M.S. |
| License Number: | DOS-1201 |
| Business Practice Address: | 2222 Philadelphia Dr Attn: Medical Education Department Dayton, OH - 454061813 |
| Business Phone Number: | 9377344141 |
| Business Fax Number: | 9372777249 |
| Mailing Address: | 2261 Philadelphia Dr, Attn: Medical Education Department DAYTON |
| State: | OH |
| Postal Code: | 45406 |
| Phone Number: | 9377344141 |
| Fax Number: | 9372777249 |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DOS-1201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |