GARY W. CLARK A PROFESSIONAL CORPORATION
NPI 1679646319
Durable Medical Equipment & Medical Supplies - Customized Equipment in Beaver, UT

Active since November 17, 2006

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary W. Clark A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY W. CLARK A PROFESSIONAL CORPORATION (NPI 1679646319) is a healthcare organization registered as a customized equipment in Beaver, Utah and active in the NPI registry since November 2006. The organization lists Gary W Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1679646319
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameGARY W. CLARK A PROFESSIONAL CORPORATION
Location Address55 N 400 EBeaver, UT 84713
Mailing Address166 W 1325 N Ste 300Cedar City, UT 84720-7854 · (888) 437-3668
Organization SubpartNo
Authorized OfficialGary W ClarkOwner · (435) 867-8521
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1679646319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in UT · 3207290501
55 N 400 E, Beaver, UT 84713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary W. Clark A Professional Corporation's NPI number?

The NPI number for Gary W. Clark A Professional Corporation is 1679646319. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Gary W. Clark A Professional Corporation located?

Gary W. Clark A Professional Corporation is located at 55 N 400 E, Beaver, UT 84713. The listed phone number is (888) 437-3668.

What is Gary W. Clark A Professional Corporation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Gary W. Clark A Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.