Gary W. Clark a Professional Corporation

NPI #1679646319 in Beaver, Utah

Provider Information

NPI Number: 1679646319
Entity Type: Organization
Organization Name: Gary W. Clark a Professional Corporation
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Nov 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 55 N 400 E
City: Beaver
State: Utah
ZIP Code: 84713
Phone: (888) 437-3668

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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