GARY W. CLARK INC NPI 1629140173

NPI Information

  • NPI: 1629140173
  • Provider Name: GARY W. CLARK INC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: GARY W CLARK DPM A PROFESSIONAL CORP
  • Address: 166 W 1325 N
    SUITE 300
    CEDAR CITY, UT
    ZIP 84720
  • Phone: (435) 867-8521

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NPI Details

GARY W. CLARK INC is a podiatrist in Cedar City, UT. The provider is 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. GARY W. CLARK INC NPI is 1629140173. The provider is registered as an organization entity type.
The provider Is Doing Business As Gary W Clark Dpm A Professional Corp.

The provider's business location address is:

166 W 1325 N
SUITE 300
CEDAR CITY, UT
ZIP 84720-792
Phone: (435) 867-8521

The provider's authorized official is Gary W Clark .
The authorized official title is Owner and has the following contact phone number (435) 867-8521.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment3207290501UTAHNo
2213E00000XPodiatrist320729-0501UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U50616MEDICARE UPINUTAH
2529212733004MEDICAIDUTAH
35790180001MEDICARE NSCUTAH
4DF8855MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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