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Gary W. Clark A Professional Corporation
Customized Equipment (DME) in Beaver, Utah
NPI 1679646319

Gary W. Clark A Professional Corporation is a Customized Equipment (DME) based in Cedar City, UT and is specialized in Customized Equipment. Gary W. Clark A Professional Corporation practices in Beaver, UT. The NPI Number for Gary W. Clark A Professional Corporation is 1679646319 and holds a License No. 3207290501 (Utah).

The current practice location address for Gary W. Clark A Professional Corporation is 55 N 400 E, Beaver, UT and can be reached out via phone at 888-437-3668.

Location: 55 N 400 E, Beaver, UT, 84720-7854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679646319
Provider Name
Gary W. Clark A Professional Corporation
Credential
Provider Entity Type
Organization
Address
55 N 400 E, Beaver, UT, 84720-7854
Phone Number
888-437-3668
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 N 400 E
City
Beaver
State
Utah
Zip
84713
Phone Number
888-437-3668
Fax Number
person
Provider Business Mailing Address Details
Address
55 N 400 E
City
Beaver
State
Utah
Zip
84713
Phone Number
888-437-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
3207290501 (Utah)
Definition
Definition to come...
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