Gary W. Clark INC

NPI #1629140173 in Cedar City, Utah

Provider Information

NPI Number
1629140173
Entity Type
Organization
Organization Name
Gary W. Clark INC
Primary Specialty
Podiatrist
Enumeration Date
Nov 13, 2006
Last Updated
Feb 22, 2008

Practice Location

Address
166 W 1325 N
Address 2
SUITE 300
State
Utah
ZIP Code
84720-7792
Phone
(435) 867-8521

Authorized Official

Name
DR. GARY W CLARK, DPM
Title
OWNER
Phone
(435) 867-8521

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Podiatrist

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