Individual
DR. GARY W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
166 W 1325 N, SUITE 300, CEDAR CITY, UT 84721-7792
(435) 867-8521
(435) 586-4073
Mailing address
PO BOX 1986, CEDAR CITY, UT 84721-1986
(435) 867-8521
(435) 586-4073
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
320729-0501
UT
Other
Enumeration date
09/12/2005
Last updated
03/27/2014
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