Gary W. Clark Dpm A Professional Corporation

NPI 1447325352 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1447325352
Enumeration Date 11/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY W GARY
Position OWNER
Phone (888) 437-3668
Fax
Practice Location
450 E. CLINIC WAY
PAROWAN UT, 84761, US
Phone (888) 437-3668
Fax
Business Location
166 W 1325 N STE 300
CEDAR CITY UT, 84720-7854, US
Phone (435) 867-8521
Fax
Toxanomy
Taxonomy Code 332BC3200X
License State Utah
License Number 3207290501
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According to our database, Gary W. Clark Dpm A Professional Corporation NPI is 1447325352, taxonomy code is 332BC3200X and license number is 3207290501, license state is located at Utah. Gary W. Clark Dpm A Professional Corporation physically located at 450 E. Clinic Way, Parowan UT, 84761. NPI Number 1033115704 has the healthcare provider type.

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1447325352 NPI number is provided on an as is basis without warranty of any kind. 1447325352 is maintained by the National Plan & Provider Enumeration System. The contents of Gary W. Clark Dpm A Professional Corporation are for informational purposes only.