Individual
CLIFFORD RISSLER NOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 938-2727
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 938-2727
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
27494
NE
207Q00000X
Family Medicine Physician
27494
NE
2083A0100X
Aerospace Medicine Physician
Primary
27494
NE
Other
Enumeration date
06/12/2012
Last updated
06/29/2025
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