Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY W. CLARK A PROFESSIONAL CORPORATION
Active OrganizationGARY W. CLARK A PROFESSIONAL CORPORATION is a Customized Equipment (DME) organization located in BEAVER, Utah. NPI 1679646319 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · BEAVER, UT
Registration Details
- NPI Number
- 1679646319
- Provider Type
- Organization
- NPI Issued
- Nov 17, 2006 (19.749240799686 yrs)
- Last Updated
- Aug 22, 2020
- License
-
3207290501 (UT)
Practice Information
- Address
-
55 N 400 EBEAVER, UT, 84713Browse UT providers · Browse ZIP 84713
- Phone
- 8884373668
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.