Gary W. Clark a Professional Corporation
Organization Active NPI Customized Equipment (DME) · Milford, UT
NPI 1699847780 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699847780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- License
- 3207290501 (UT)
- Legal business name
- GARY W. CLARK A PROFESSIONAL CORPORATION
- Practice address
- 444 S. Main
Milford, UT 84751 - Phone
- (888) 437-3668
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary W. Clark, DPM
- Title
- Owner
- Phone
- (888) 437-3668
Corporate family (same tax ID) 3
Practitioners 1
-
Gary W Clark, DPM
National Provider Directory
- Tax ID family
- Gary W Clark DPM a Professional Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 3207290501 | UT | Yes |
Addresses
Primary practice location
444 S. Main
Milford, UT 84751
Mailing address
166 W 1325 N Ste 300
Cedar City, UT 84720-7854
Phone (435) 867-8521
Other providers in Milford, UT
- Ty Kyle Beard
- Beaver Medical, LLC
- Lost and Found Youth Academy
- Milford Memorial Hospital
- Milford Pharmacy Services
- Painted Hills Academy
- Whitney A Reynolds
All providers in Milford, UT · Customized Equipment (DME) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.