Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary W. Clark a Professional Corporation

Organization Customized Equipment (DME) · NPI 1679646319

Gary W. Clark a Professional Corporation is a Customized Equipment (DME) in Beaver, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
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Practice location Address checks out

55 N 400 E
Beaver, UT 84713
Phone: (888) 437-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 3207290501 (UT)

Record details

NPI number1679646319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Clark — Owner · (435) 867-8521
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address166 W 1325 N Ste 300, Cedar City, UT 84720-7854