Gary W Clark (NPI# 1609861152, PAC ID# 9335247618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1609861152 |
| PAC ID by PECOS | 9335247618 |
| Professional Enrollment ID | I20070611000270 |
| Full Name | Gary W Clark |
| Address |
166 W 1325 Suite 300 Cedar City UT 84720-7854 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 166 W 1325, Suite 300, Cedar City, UT 84720-7854 | ||
| 450 E Clinic Way, Parowan, UT 84761 |
| Street Address |
166 W 1325 SUITE 300 |
| City | CEDAR CITY |
| State | UT |
| Zip | 84720-7854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason D Christian | Physician Assistant | Cedar Dermatology Pllc | 166 W 1325, Suite 250, Cedar City, UT 84721-7794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Walley | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Circle, Cedar City, UT 84720 |
| Tyson B Terry | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Circle, Cedar City, UT 84720 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Denean Davis | Clinical Social Worker | 136 W University Blvd, Cedar City, UT 84720-2560 | |
| Brian R Whitney | Optometry | 66 W Harding Ave, Suite B, Cedar City, UT 84720-2596 | |
| Laura L Kelsey | Clinical Social Worker | Southwest Center | 54 N 200, Southwest Behavioral Health Center, Cedar City, UT 84720-2615 |
| Keith T Einfeldt | Clinical Social Worker | 115 N Main St, Suite 204, Cedar City, UT 84720-2674 | |
| Joni D Thomas | Clinical Social Worker | 66 W Harding Ave, Suite C2, Cedar City, UT 84720-3091 | |
| Tyler B Whittaker | Chiropractic | Whittaker Family Chiropractic Inc | 555 S Sunset Dr, Cedar City, UT 84720-3538 |
| Rebecca C Whittaker | Chiropractic | Whittaker Family Chiropractic Inc | 555 S Sunset Dr, Cedar City, UT 84720-3538 |
| Find all physicians in zip 84720 | |||
| City | CEDAR CITY |
| Zip Code | 84720 |
| Specialty | PODIATRY |
| City + Specialty | CEDAR CITY + PODIATRY |
Please comment or provide details below to improve the information on Gary W Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.