Organization · Type 2 NPI
Gary W. Clark A Professional Corporation
Customized Equipment (DME) · Milford, UT
NPI number
1699847780
Active
Practice location
444 S. Main
Milford, UT 84751
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 1699847780
Gary W. Clark A Professional Corporation's National Provider Identifier is 1699847780, issued on Nov 14, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Milford, UT. The record was last updated on Aug 22, 2020.