Clark, Randy R

Clark, Randy R is an individual health care provider with primary practice located at 1490 E Foremaster Dr Suite 150, St George UT 84790-4488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Clark, Randy R can be contacted via phone (435) 628-9393.

Contact Information

Primary practice address
1490 E Foremaster Dr Suite 150 St George UT 84790-4488
Phone: (435) 628-9393
Fax: (435) 628-9382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R-7938 Iowa
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A113846 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8203740-1205 Utah

Profile Details

NPI number 1679781140
LBN Legal business name Clark, Randy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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