Gary W. Clark Dpm A Professional Corporation in Parowan - Customized Equipment

Gary W. Clark Dpm A Professional Corporation - NPI 1447325352

Gary W. Clark Dpm A Professional Corporation is a Customized Equipment in Parowan, Utah. Gary W. Clark Dpm A Professional Corporation practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Gary W. Clark Dpm A Professional Corporation is 1447325352. The last update date is 2020-08-22.

Gary W. Clark Dpm A Professional Corporation's current location address is 450 E. Clinic Way, Parowan, Utah. You can contact this provider via phone number 8884373668. The mailing address for Gary W. Clark Dpm A Professional Corporation is 450 E. Clinic Way, Parowan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gary W. Clark Dpm A Professional Corporation
Address 450 E. Clinic Way, Parowan, Utah
Phone Number 8884373668
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Clark W Gary
Credentials DPM
Telephone Number 8884373668

NPI Number Detail

NPI Number 1447325352
Provider Enumeration Date 2006-11-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 450 E. Clinic Way
City Parowan
State Utah (UT)
Post Code 84761
Phone Number 8884373668
Fax Number

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
Taxonomy 332Bc3200X
Licence No 3207290501
Definition:
Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs.

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FAQs about Gary W. Clark Dpm A Professional Corporation

What is the Gary W. Clark Dpm A Professional Corporation's unique identification number?

The Gary W. Clark Dpm A Professional Corporation has been assigned the NPI (National Provider Identifier) Number 1447325352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Gary W. Clark Dpm A Professional Corporation is physically located?

The Gary W. Clark Dpm A Professional Corporation is situated at the following address: 450 E. Clinic Way, Parowan, UT 84761.

What is Gary W. Clark Dpm A Professional Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary W. Clark Dpm A Professional Corporation is Customized Equipment, and the taxonomy code that categorizes this field of expertise is 332Bc3200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447325352 to Gary W. Clark Dpm A Professional Corporation?

The Gary W. Clark Dpm A Professional Corporation received its 1447325352 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.

When was the information related to Gary W. Clark Dpm A Professional Corporation most recently updated or refreshed?

The details pertaining to the Gary W. Clark Dpm A Professional Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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