Organization · Type 2 NPI
Gary W. Clark DPM A Professional Corporation
Customized Equipment (DME) · Parowan, UT
NPI number
1447325352
Active
Practice location
450 E. Clinic Way
Parowan, UT 84761
Mailing address
166 W 1325 N Ste 300
Cedar City, UT 84720-7854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 3207290501 (UT) |
Customized Equipment (DME): Definition to come...
About NPI 1447325352
Gary W. Clark DPM A Professional Corporation's National Provider Identifier is 1447325352, issued on Nov 24, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Parowan, UT. The record was last updated on Aug 22, 2020.