Provider Demographics
NPI:1295700458
Name:HOWELL, CLIFFORD E (MD)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:E
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2525 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 610
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112
Mailing Address - Country:US
Mailing Address - Phone:405-286-9465
Mailing Address - Fax:405-286-9462
Practice Address - Street 1:608 NW 9TH ST
Practice Address - Street 2:STE 2000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1049
Practice Address - Country:US
Practice Address - Phone:405-278-8181
Practice Address - Fax:405-278-8182
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK161252086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100826090BMedicaid
OK100826090BMedicaid
OKF77528Medicare UPIN
OKP00364963Medicare PIN
OK243535706Medicare PIN