Organization
GARY W. CLARK INC
Active
Other names
Gary W Clark DPM A Professional Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W CLARK DPM (OWNER)
(435) 867-8521
Entity
Organization
Contact information
Practice address
166 W 1325 N, SUITE 300, CEDAR CITY, UT 84720-7792
(435) 867-8521
Mailing address
PO BOX 1986, CEDAR CITY, UT 84721-1986
(435) 867-8521
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
320729-0501
UT
332BC3200X
Customized Equipment (DME)
3207290501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529212733004
—
UT
Enumeration date
11/13/2006
Last updated
02/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us