Provider Demographics
NPI:1093939878
Name:CLOHAN, DEXANNE BOWERS (MD)
Entity Type:Individual
Prefix:DR
First Name:DEXANNE
Middle Name:BOWERS
Last Name:CLOHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2351 RIVER GRAND DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2347
Mailing Address - Country:US
Mailing Address - Phone:205-970-5950
Mailing Address - Fax:205-969-6670
Practice Address - Street 1:1 HEALTHSOUTH PKWY S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2358
Practice Address - Country:US
Practice Address - Phone:205-970-5950
Practice Address - Fax:205-969-6670
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.27951225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner