Gary W. Clark Inc
Podiatrist
166 W 1325 N, Suite 300, Cedar City
Utah, 84720-7792
435-867-8521 Gary W. Clark Inc is a Podiatrist in Cedar City, Utah. It is located at 166 W 1325 N, Suite 300, Cedar City and it's customer support contact number is 435-867-8521. The authorized person of Gary W. Clark Inc is Dr. Gary W Clark, DPM who is Owner of this DME and his contact number is 435-867-8521. Active license number of Gary W. Clark Inc is 320729-0501 for Podiatrist in Utah. Gary W. Clark Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gary W. Clark Inc 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.
DME Supplier Details:
Gary W. Clark Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Gary W. Clark Inc |
| Type: | Podiatrist |
| Location: | 166 W 1325 N, Suite 300, Cedar City,
Utah, 84720-7792 |
| Phone: | 435-867-8521 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Gary W Clark |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 435-867-8521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1629140173 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 22 Feb, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary W. Clark Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 320729-0501 | Utah | Primary | |
| Customized Equipment | 3207290501 | Utah | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 529212733004 | Medicaid | Utah | |
Medicare Enrollment:
Gary W. Clark Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0941300370 | O20070713000307 | Gary W Clark Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 0941300370 | O20100930097218 | Gary W Clark Inc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1986,
Cedar City, Utah |
| Zip: | 84721-1986 |
| Phone Number: | 435-867-8521 |
Patients can reach Gary W. Clark Inc at
166 W 1325 N, Suite 300, Cedar City, Utah or can
call on customer care at 435-867-8521.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.