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Gary W. Clark Inc
Customized Equipment (DME) in Cedar City, Utah
NPI 1629140173

Gary W. Clark Inc is a Customized Equipment (DME) based in Cedar City, UT and is specialized in Customized Equipment. Gary W. Clark Inc practices in Cedar City, UT. The NPI Number for Gary W. Clark Inc is 1629140173 and holds a License No. 320729-0501 (Utah).

The current practice location address for Gary W. Clark Inc is 166 W 1325 N, Cedar City, UT and can be reached out via phone at 435-867-8521.

Location: 166 W 1325 N, Cedar City, UT, 84721-1986
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629140173
Provider Name
Gary W. Clark Inc
Credential
Provider Entity Type
Organization
Address
166 W 1325 N, Cedar City, UT, 84721-1986
Phone Number
435-867-8521
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529212733004 05 UT
institution
Provider Business Practice Location Address Details
Address
166 W 1325 N
City
Cedar City
State
Utah
Zip
84720-7792
Phone Number
435-867-8521
Fax Number
person
Provider Business Mailing Address Details
Address
166 W 1325 N
City
Cedar City
State
Utah
Zip
84720-7792
Phone Number
435-867-8521
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
3207290501 (Utah)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
320729-0501 (Utah)
Definition
Definition to come...
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