GARY W. CLARK INC NPI 1629140173

NPI Information

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:

Other Identifiers

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

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